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1285960914
MATTHEW ROBERT FALLON
CENTEREACH, NY
NPI
1285960914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
283X00000X Rehabilitation Hospital
(Licence: NY 031965-1)
Enumeration Date
2009-10-30
Last Update Date
2009-10-30
Business Address
Mr. MATTHEW ROBERT FALLON
2100 MIDDLE COUNTRY RD
CENTEREACH, NY 11720-3577
Phone number: 631-580-2526
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Mailing Address
Mr. MATTHEW ROBERT FALLON
2100 MIDDLE COUNTRY RD
CENTEREACH, NY 11720-3577
Phone number: 631-580-2526
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