Individual
DR. FREDERICK S. FALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SCARSDALE MEDICAL GROUP, 600 MAMARONECK AVENUE, HARRISON, NY 10528
(914) 723-8100
(914) 219-1928
Mailing address
41 CONCORD RD, ARDSLEY, NY 10502-1111
(914) 693-6133
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
180848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744238
—
NY
Enumeration date
06/01/2006
Last updated
03/17/2018
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