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

Fallon Victoria Etkin, PA-C

Individual provider Physician Assistant · NPI 1871101501

Fallon Victoria Etkin, PA-C is a Physician Assistant in Halfmoon, New York. Graduated from Albany Medical College of Union University in 2020, 6 years ago. Practices with Select PT, OT and SLP Rehabilitation Ny, PLLC, a 272-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
6
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1783 Route 9 Ste 204
Halfmoon, NY 12065-2466
Phone: (518) 371-9355
Fax: (518) 373-9139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 025188 (NY)

Record details

NPI number1871101501
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 20, 2020
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc — 272 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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