Individual provider · Type 1 NPI

Justin Michael Fallacaro, PA-C

Surgical Physician Assistant · Middletown, NY

NPI number 1659920767 Active

Practice location

707 E Main St
Middletown, NY 10940-2650

Call (845) 333-7575 Map

Fax (845) 333-7201

Other practice locations

  • 68 Harris Bushville Rd, Harris, NY 12742 · (845) 333-8909

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X024728 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1659920767

Justin Michael Fallacaro, PA-C's National Provider Identifier is 1659920767, issued on Sep 11, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, NY. The record was last updated on Oct 16, 2024.