Individual
BRYAN M FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6352 WOODHAVEN BLVD, REGO PARK, NY 11374
(718) 639-1176
(718) 565-6656
Mailing address
318 LAUREL RD, WEST HEMPSTEAD, NY 11552
(718) 639-1176
(718) 565-6656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
129043
NY
207RN0300X
Nephrology Physician
Primary
129043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00790556
—
NY
01
—
P674411
OXFORD
—
Enumeration date
10/19/2006
Last updated
07/21/2010
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