| NPI | 1568177970 |
|---|---|
| Doing Business As | DR. FALLON'S PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KARLA S FALLON President 347-229-6356 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |