Individual
CARLA A VAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7551
(315) 470-2719
Mailing address
PO BOX 2004, EAST SYRACUSE, NY 13057-4504
(315) 362-5285
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010379
NY
Other
Enumeration date
07/29/2005
Last updated
11/19/2008
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