Individual
JACLYN FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 RAMAPO RD, GARNERVILLE, NY 10923-1552
(845) 947-1772
(845) 947-4487
Mailing address
22 SAW MILL RIVER RD, 2ND FLOOR, HAWTHORNE, NY 10532-1533
(845) 947-1772
(845) 947-4487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
264124
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03464413
—
NY
Enumeration date
03/27/2009
Last updated
07/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us