Individual provider · Type 1 NPI
Marlee Anne Fallon, PA-C
Medical Physician Assistant · Fayetteville, NY
NPI number
1578050480
Active
Practice location
4402 Medical Center Dr Ste 402
Fayetteville, NY 13066-6626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 019993-1 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1578050480
Marlee Anne Fallon, PA-C's National Provider Identifier is 1578050480, issued on Apr 16, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, NY. The record was last updated on Nov 9, 2021.