Individual
JOSEPH FALLACARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(718) 252-3000
Mailing address
3 CHARLES CT, E PATCHOGUE, NY 11772-6267
(631) 880-0831
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
025654-01
NY
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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