Doctor Name: | KATHLEEN REILLY-FALLON |
NPI Number: | 1720141179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 005290 |
Business Practice Address: | 11 Wampus Close Armonk, NY - 105041941 |
Business Phone Number: | 9144380232 |
Business Fax Number: | |
Mailing Address: | 11 Wampus Close, ARMONK |
State: | NY |
Postal Code: | 105041941 |
Phone Number: | 9144380232 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP0504X |
License Number: | 005290 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Public Medicine |
Taxonomy Definition: |