Individual
MARC FAFALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 MARKET ST STE 201, YONKERS, NY 10710-7617
(914) 831-4160
(914) 831-4160
Mailing address
967 N BROADWAY, YONKERS, NY 10701-1301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
306210
NY
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
306210
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2017
Last updated
03/21/2023
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