Fallon Kathleen Martensen

NPI #1003647884 in East Islip, New York

Provider Information

NPI Number: 1003647884
Entity Type: Individual
Name: Fallon Kathleen Martensen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Aug 12, 2024
Last Updated: Aug 12, 2024

Practice Location

Address: 35 THE MOOR
City: East Islip
State: New York
ZIP Code: 11730-2922
Phone: (631) 704-0930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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