Individual
DAWN ROSE FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
516 MONTAUK HWY STE 1E, EAST MORICHES, NY 11940-1236
(631) 874-2900
Mailing address
17 N INGELORE CT, SMITHTOWN, NY 11787-1544
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353356
NY
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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