Individual
CAROL NEVULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2233 STATE ROUTE 86, SARANAC LAKE, NY 12983-5644
(518) 891-4141
Mailing address
2233 STATE ROUTE 86, SARANAC LAKE, NY 12983-5644
(518) 891-4141
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002877
NY
363AS0400X
Surgical Physician Assistant
MA001333L
PA
Other
Enumeration date
09/27/2006
Last updated
01/08/2016
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