Provider Demographics
NPI:1649271859
Name:FALK, NAOMI S (MD)
Entity type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:S
Last Name:FALK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 668
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-0668
Mailing Address - Country:US
Mailing Address - Phone:518-533-6550
Mailing Address - Fax:518-533-6556
Practice Address - Street 1:1220 NEW SCOTLAND RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159
Practice Address - Country:US
Practice Address - Phone:518-533-6550
Practice Address - Fax:518-533-6556
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210696207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY346581OtherMVP
NY02288728Medicaid
NY180044251OtherRAILROAD MEDICARE
NY10064539OtherCDPHP
NY10064539OtherCDPHP