Frederick Thomas Fallacara
Peer Specialist in Hicksville, NY. Individual provider (NPI-1).
NPI number1033763552
StatusActive
Last updated in NPPESAug 1, 2019
Details
- NPI
- 1033763552
- Entity type
- Individual (NPI-1)
- Name
- Frederick Thomas Fallacara
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Last updated
- Aug 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
950 S Oyster Bay RdHicksville, NY 11801-3510
Phone 516-822-6111
Mailing address
950 S Oyster Bay RdHicksville, NY 11801-3510
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All 59 Peer Specialist providers in Hicksville · All 1,866 providers in Hicksville
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