Individual
ANTON FALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8510 3RD AVE, BROOKLYN, NY 11209-4610
(718) 680-9855
(718) 680-9856
Mailing address
8510 3RD AVE, BROOKLYN, NY 11209-4610
(718) 680-9855
(718) 680-9856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0411031
NY
183500000X
Pharmacist
Primary
RI021121
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02278279
—
NY
Enumeration date
02/18/2010
Last updated
02/18/2010
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