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Individual

BRIAN FALLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3844
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
242652
NY

Other

Enumeration date
06/26/2008
Last updated
06/26/2008
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