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Michael Joseph Fallon, LMT
Massage Therapist in Coram, New York
NPI 1831718675

Michael Joseph Fallon is a Massage Therapist based in Coram, NY. Michael Joseph Fallon practices in Coram, NY and has the professional credentials of LMT. The NPI Number for Michael Joseph Fallon is 1831718675 and holds a License No. 030786 (New York).

The current practice location address for Michael Joseph Fallon is 292 Brettonwoods Dr, Coram, NY and can be reached out via phone at 631-255-9836.

Location: 292 Brettonwoods Dr, Coram, NY, 11727-3686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831718675
Provider Name
Michael Joseph Fallon
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
292 Brettonwoods Dr, Coram, NY, 11727-3686
Phone Number
631-255-9836
Fax Number
Provider Enumeration Date
04/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
030786 01 NY NEW YORK STATE
institution
Provider Business Practice Location Address Details
Address
292 Brettonwoods Dr
City
Coram
State
New York
Zip
11727-3686
Phone Number
631-255-9836
Fax Number
person
Provider Business Mailing Address Details
Address
292 Brettonwoods Dr
City
Coram
State
New York
Zip
11727-3686
Phone Number
631-255-9836
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
030786 (New York)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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