Individual
EDMUND FRANCIS FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 NORTH RD, WILTON, NY 12831-1308
(518) 581-7256
(518) 926-1965
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 926-6992
(518) 926-6983
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
108707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00381177
—
NY
01
—
P00402828
RR MEDICARE
NY
Enumeration date
05/20/2006
Last updated
06/03/2008
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