Individual
AUTUMN SKYE CHILDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3456
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032655
NY
Other
Enumeration date
05/08/2023
Last updated
02/24/2025
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