Individual
ASHLEY MICHELLE FALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 UPPER GLEN ST, QUEENSBURY, NY 12804-2019
(518) 210-5213
Mailing address
683 BURDEN AVE, TROY, NY 12180-5940
(518) 210-5213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1068504
NY
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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