Individual
MR. MATTHEW ROBERT FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3577
(631) 580-2526
Mailing address
2100 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3577
(631) 580-2526
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
031965-1
NY
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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