MEDICARE: DR. MARTIN FALK PHD

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	103T00000X	Psychologist	008399	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891757605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN FALK PHD

Provider Business Mailing Address
First Line	:	2626 E 14TH ST
Second Line	:	SUITE 101-E
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3966
Country	:	US
Telephone Number	:	718-743-0541
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 E 14TH ST
Second Line	:	STE 101E
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3976
Country	:	US
Telephone Number	:	718-743-0541
Fax Number	:

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	06/06/2017

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