Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Joseph Fallon, LMT

Individual provider Massage Therapist · NPI 1831718675

Michael Joseph Fallon, LMT is a Massage Therapist in Coram, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

292 Brettonwoods Dr
Coram, NY 11727-3686
Phone: (631) 255-9836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 030786 (NY)

Record details

NPI number1831718675
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 12, 2020
Last updated in NPPESApril 12, 2020
Certification dateApril 12, 2020
Mailing address292 Brettonwoods Dr, Coram, NY 11727-3686

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