Provider Demographics
NPI:1871798611
Name:FALK, JAY D (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:D
Last Name:FALK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAKE
Other - Middle Name:D
Other - Last Name:FALK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1 IRVING PL
Mailing Address - Street 2:SUITE U-20F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9701
Mailing Address - Country:US
Mailing Address - Phone:212-353-2801
Mailing Address - Fax:267-653-2801
Practice Address - Street 1:1 IRVING PL
Practice Address - Street 2:SUITE U-20F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9701
Practice Address - Country:US
Practice Address - Phone:212-353-2801
Practice Address - Fax:267-653-2801
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1887542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry