Edmund Francis Fallon, | |
135 North Rd, Wilton, NY 12831-1308 | |
(518) 581-7256 | |
(518) 926-1965 |
Full Name | Edmund Francis Fallon |
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Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 135 North Rd, Wilton, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003860354 | NPI | - | NPPES |
00381177 | Medicaid | NY | |
P00402828 | Other | NY | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 108707 (New York) | Primary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Mailing Address | Practice Location Address |
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Edmund Francis Fallon, Po Box 304, Glens Falls, NY 12801-0304 Ph: (518) 926-6992 | Edmund Francis Fallon, 135 North Rd, Wilton, NY 12831-1308 Ph: (518) 581-7256 |
Michael Joseph Crook, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 1000 Mountain Rd, Mt. Mcgregor Correctional Facility, Wilton, NY 12831 Phone: 518-587-3960 | |
Srikanth Mitta, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 665 Saratoga Rd Ste 400, Wilton, NY 12831 Phone: 518-580-2185 |