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Frederick Thomas Fallacara
Peer Specialist in Hicksville, New York
NPI 1033763552

Frederick Thomas Fallacara is a Peer Specialist based in Hicksville, NY. Frederick Thomas Fallacara practices in Hicksville, NY. The NPI Number for Frederick Thomas Fallacara is 1033763552 and holds a License No. (New York).

The current practice location address for Frederick Thomas Fallacara is 950 S Oyster Bay Rd, Hicksville, NY and can be reached out via phone at 516-822-6111.

Location: 950 S Oyster Bay Rd, Hicksville, NY, 11801-3510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033763552
Provider Name
Frederick Thomas Fallacara
Credential
Provider Entity Type
Individual
Gender
Male
Address
950 S Oyster Bay Rd, Hicksville, NY, 11801-3510
Phone Number
516-822-6111
Fax Number
Provider Enumeration Date
08/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
950 S Oyster Bay Rd
City
Hicksville
State
New York
Zip
11801-3510
Phone Number
516-822-6111
Fax Number
person
Provider Business Mailing Address Details
Address
950 S Oyster Bay Rd
City
Hicksville
State
New York
Zip
11801-3510
Phone Number
516-822-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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