Individual
JAMES FALLAVOLLITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 882-6544
(716) 882-6833
Mailing address
3435 MAIN STREET, SUNY AT BUFFALO - BIOMEDICAL RESEARCH BLDG ROOM 349, BUFFALO, NY 14214-3021
(716) 829-2667
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
179057
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000511108005
HEALTH NOW
NY
05
—
01242295
—
NY
01
—
5807950
INDEPEDENT HEALTH
NY
Enumeration date
05/09/2006
Last updated
11/22/2011
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