MEDICARE: DR. NAOMI S. FALK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	210696	NY
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	210696	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	180044251	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	346581	OTHER	NY	MVP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	10064539	OTHER	NY	CDPHP

General Provider Information

NPI Number	:	1649271859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAOMI S. FALK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 668
Second Line	:
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-0668
Country	:	US
Telephone Number	:	518-533-6550
Fax Number	:	518-533-6556

Provider Business Practice Location Address
First Line	:	1220 NEW SCOTLAND RD
Second Line	:	SUITE 201
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159
Country	:	US
Telephone Number	:	518-533-6550
Fax Number	:	518-533-6556

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/09/2021

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Directions to “ DR. NAOMI S. FALK M.D.” Practice Location

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