Provider Demographics
NPI:1366627978
Name:GEORGE A FALK MD PC
Entity Type:Organization
Organization Name:GEORGE A FALK MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FALK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-452-9661
Mailing Address - Street 1:150 E 77TH ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1922
Mailing Address - Country:US
Mailing Address - Phone:212-452-9661
Mailing Address - Fax:212-452-9670
Practice Address - Street 1:150 E 77TH ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1922
Practice Address - Country:US
Practice Address - Phone:212-452-9661
Practice Address - Fax:212-452-9670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB78787Medicare UPIN