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Individual

DR. CAROLYN A CHRISTIE-MCAULIFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D., FNP

Contact information

Practice address
5700 W GENESEE ST, SUITE 124, CAMILLUS, NY 13031-3200
(315) 707-7686
(315) 221-9506
Mailing address
5700 W GENESEE ST, SUITE 124, CAMILLUS, NY 13031-3200
(315) 707-7686
(315) 221-9506

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
335494
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03012764
NY
Enumeration date
06/05/2008
Last updated
10/03/2013
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