Fallacaro, Justin Michael

Fallacaro, Justin Michael is an individual health care provider with primary practice located at 3141 Route 9W , New Windsor NY 12553-6709. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fallacaro, Justin Michael can be contacted via phone (845) 534-5768.

Contact Information

Primary practice address
3141 Route 9W New Windsor NY 12553-6709
Phone: (845) 534-5768
Fax: (845) 686-9001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 024728 New York

Profile Details

NPI number 1659920767
LBN Legal business name Fallacaro, Justin Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Nov 29th, 2023 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659920767 NPPES
New York MEDICAID 06045005

Popular Providers