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Provider Information for 1447538277


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EDWARD B FALSEY LCSW-R


Sex: Male

NPI: 1447538277
Last Updated: 2011-07-27
Certification Date:

Details

NameValue
NPI1447538277
Enumeration Date2011-07-27
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 812 N SALINA ST
SYRACUSE, NY 13208-2513
United States

Phone: 315-559-4711 | Fax:
 
Primary Practice Address 7266 BUCKLEY RD
N SYRACUSE, NY 13212-2649
United States

Phone: 314-458-0919 | Fax:315-458-0954
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNYR033135-1