Individual
DR. BRYAN MICHAEL FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
85 5TH AVE, SUITE 908, NEW YORK, NY 10003-3019
(212) 886-4874
(212) 410-6318
Mailing address
296 RUGBY RD, BROOKLYN, NY 11226-4552
(212) 886-4874
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012513
NY
Other
Enumeration date
10/26/2006
Last updated
05/28/2021
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