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Individual

CHRISTOPHER CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
601 ELMWOOD AVE, 619-HMD, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
30 BAKER ST APT 37, CHURCHVILLE, NY 14428-9803
(718) 687-2139

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018512
NY
363A00000X
Physician Assistant
18512
NY

Other

Enumeration date
03/13/2015
Last updated
05/15/2023
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