Individual
CAROLYN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 GRAND AVE, MARS, PA 16046-3410
(412) 501-9585
Mailing address
208 LOGAN RD, GIBSONIA, PA 15044-6092
(718) 344-9868
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
226705
NY
Other
Enumeration date
05/17/2006
Last updated
09/14/2025
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