Individual
MR. JOHN DANIEL FALLON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4232 ALBANY POST RD, HYDE PARK, NY 12538-1766
(845) 229-8977
(845) 229-8930
Mailing address
4232 ALBANY POST RD, HYDE PARK, NY 12538-1766
(845) 229-8977
(845) 229-8930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F331951-1
NY
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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