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Individual
ENZO FALLONE
Active
Individual
ENZO FALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
238815
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
238815-1
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
238815
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165492
GHI
NY
05
—
02911475
—
NY
01
—
7242958
AETNA
NY
Enumeration date
04/03/2007
Last updated
09/22/2022
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