Individual
DENISE FALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HARRIMAN DR, GOSHEN, NY 10924-2410
(845) 467-5493
Mailing address
30 HARRIMAN DR, GOSHEN, NY 10924-2410
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0425
NY
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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