Provider Demographics
NPI:1376804328
Name:FALAH, LABINSKY ROACH
Entity Type:Individual
Prefix:MRS
First Name:LABINSKY
Middle Name:ROACH
Last Name:FALAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HAVEN PLZ
Mailing Address - Street 2:APT #6B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3922
Mailing Address - Country:US
Mailing Address - Phone:347-678-0009
Mailing Address - Fax:
Practice Address - Street 1:2 HAVEN PLZ
Practice Address - Street 2:APT #6B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3922
Practice Address - Country:US
Practice Address - Phone:347-678-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist