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Contact Information

BRIAN FALLON, MD
301 E MAIN ST
BAY SHORE, NY11706-8408
 Phone: 631-968-3844
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BRIAN FALLON · (Male)

NPI # 1528220068
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2008
Last updated 06/26/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 242652
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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