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1528220068
BRIAN FALLON
BAY SHORE, NY
NPI
1528220068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: NY 242652)
Enumeration Date
2008-06-26
Last Update Date
2008-06-26
Business Address
-- BRIAN FALLON MD
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3844
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Mailing Address
-- BRIAN FALLON MD
972 BRUSH HOLLOW RD
WESTBURY, NY 11590-1740
Phone number: 516-876-5555
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