Individual
FALLON PIDCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
371 STOCKHOLM ST, BROOKLYN, NY 11237-4194
(718) 508-4619
Mailing address
317 W 93RD ST APT 5D, NEW YORK, NY 10025-7236
(508) 733-3038
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
002168
NY
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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