Individual
MR. JOHN F FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, SUNY AT STONY BROOK, STONY BROOK, NY 11794-8480
(631) 444-2975
Mailing address
106 ROANOKE CT, RIVERHEAD, NY 11901-6314
(631) 591-0783
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
308032-1
NY
Other
Enumeration date
01/04/2007
Last updated
04/15/2013
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