Carolyn Rae Mandeville PA-C

NPI 1538492509 - Physician Assistant - 363AS0400X

NPI Details
NPI 1538492509
Gender Female
Enumeration Date 09/09/2009
Last Updated 11/07/2014
Entity Type Individual
Active Over 7 years ago
Practice Location
2249 STATE ROUTE 86 STE 2
SARANAC LAKE NY, 12983-5644, US
Phone (518) 354-5353
Fax (518) 354-8153
Business Location
2249 STATE ROUTE 86 STE 2
SARANAC LAKE NY, 12983-5644, US
Phone (518) 354-5353
Fax (518) 354-8153
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 013307
Remove 1538492509 NPI Number
 

According to our database, Carolyn Rae Mandeville PA-C NPI is 1538492509, taxonomy code is 363AS0400X and license number is 013307, license state is located at New York. Carolyn Rae Mandeville PA-C physically located at 2249 State Route 86 Ste 2, Saranac Lake NY, 12983-5644. NPI Number Carolyn Rae Mandeville PA-C has the Individual type.

Sponsored links

1538492509 NPI number is provided on an as is basis without warranty of any kind. 1538492509 is maintained by the National Plan & Provider Enumeration System. The contents of Carolyn Rae Mandeville PA-C are for informational purposes only.