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

Marlee Anne Fallon, PA-C

Individual provider Medical Physician Assistant · NPI 1578050480

Marlee Anne Fallon, PA-C is a Medical Physician Assistant in Fayetteville, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4402 Medical Center Dr Ste 402
Fayetteville, NY 13066-6626
Phone: (315) 663-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 019993-1 (NY)

Record details

NPI number1578050480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESNovember 9, 2021
Certification dateNovember 9, 2021

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