Doctor Name: | MR. CHRISTOPHER MICHAEL CAREY |
NPI Number: | 1336289883 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 001472-1 |
Business Practice Address: | 2037 State Route 96 Trumansburg, NY - 148869134 |
Business Phone Number: | 6072203168 |
Business Fax Number: | |
Mailing Address: | 2037 State Route 96, TRUMANSBURG |
State: | NY |
Postal Code: | 148869134 |
Phone Number: | 6072203168 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001472-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |