Individual
MS. FALON O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-8000
Mailing address
86 SAINT FELIX ST FL 10, BROOKLYN, NY 11217-3032
(718) 250-8810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
023738
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376009399
—
NY
Enumeration date
02/14/2019
Last updated
10/15/2021
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