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Individual
STEPHEN JOSEPH FALLON
Active
Individual
STEPHEN JOSEPH FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
039688-1
NY
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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