Provider Demographics
NPI:1033092333
Name:FALCONE, JONATHAN RYAN (OTR/L)
Entity type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:RYAN
Last Name:FALCONE
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 CRANFORD ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-3027
Mailing Address - Country:US
Mailing Address - Phone:646-462-9575
Mailing Address - Fax:
Practice Address - Street 1:73 CRANFORD ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-3027
Practice Address - Country:US
Practice Address - Phone:646-462-9575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030183-01225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist