Individual
MRS. CARRIE E MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
18 LIMESTONE DR STE 5, WILLIAMSVILLE, NY 14221-8602
(716) 632-1400
(716) 632-5316
Mailing address
18 LIMESTONE DR STE 5, WILLIAMSVILLE, NY 14221-8602
(716) 632-1400
(716) 632-5316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011592
LICENSE
NY
Enumeration date
06/13/2007
Last updated
05/29/2019
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