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Edmund Fallon NPI 1003860354

Classification
Internal Medicine
Type
Endocrinology, Diabetes & Metabolism
Specialization
Endocrinology, Diabetes & Metabolism
License No.
108707
License State
NY
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State
Identifier: P00402828
Type: OTHER (01)
State: NY
Identifier: RB0444
Type: MEDICARE ID-TYPE UNSPECIFIED (04)
State: NY
Identifier: C11769
Type: MEDICARE UPIN (02)
State:
Identifier: 00381177
Type: MEDICAID (05)
State: NY

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
135 NORTH RD, WILTON, NY, 128311308
Business Phone
518-581-7256
Mailing Address
PO BOX 304, GLENS FALLS, NY, 128010304
Mailing Phone
518-926-6992
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