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

Individual provider Physician Assistant · NPI 1902667876

Haddy Fall, PA-C is a Physician Assistant in New York, New York. Qualified in 2023, 3 years ago. Practices with East River Medical Associates PC, a 115-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
3
Licensed in
NY, PA
In the registry since
2024
Specialties on file
2
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

429 E 75th St
New York, NY 10021-3102
Phone: (212) 606-1686
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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 031378-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence MA065333 (PA)

Record details

NPI number1902667876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESMarch 28, 2024
Certification dateMarch 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice East River Medical Associates Pc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at East River Medical Associates PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 115 clinicians in the practice; 12 are shown here.

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