Falcon, Sammy

Falcon, Sammy is an individual health care provider with primary practice located at 1 Long Wharf Dr , New Haven CT 06511-5991. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Falcon, Sammy can be contacted via phone (203) 781-4600.

Contact Information

Primary practice address
1 Long Wharf Dr New Haven CT 06511-5991
Phone: (203) 781-4600
Fax: (203) 781-4624
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1283 Connecticut

Profile Details

NPI number 1851893549
LBN Legal business name Falcon, Sammy
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2018
Last updated Jan 24th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851893549 NPPES
Connecticut MEDICAID 008003745
Connecticut MEDICAID 004041000
Connecticut MEDICAID 008078390

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