Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 003337 | NY |
N | 2080A0000X | Adolescent Medicine | 003337 | NY |
Y | 2080P0204X | Pediatric Emergency Doctor | 003337 | NY |
NPI | 1316173214 |
---|---|
Provider Name | Dr. Michael James Falk |
First Address | New York, NY 10009-8112 |
Second Address | New York, NY 10025-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2009 |
Last Update Date | 08/03/2012 |