Individual provider · Type 1 NPI

Joseph Fallacaro, PA

Surgical Physician Assistant · Brooklyn, NY

NPI number 1659945350 Active

Practice location

3201 Kings Hwy
Brooklyn, NY 11234-2625

Mailing address

3 Charles Ct
East Patchogue, NY 11772-6267

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X025654-01 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1659945350

Joseph Fallacaro, PA's National Provider Identifier is 1659945350, issued on May 17, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on May 17, 2021.