Individual provider · Type 1 NPI

Lynne Fallica

Specialist · Port Jefferson Station, NY

NPI number 1932049376 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Mailing address

87395 Old Hwy
Islamorada, FL 33036-3053

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X816955 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1932049376

Lynne Fallica's National Provider Identifier is 1932049376, issued on Mar 28, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 28, 2026.