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Individual

CHRISTOPHER CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
(607) 547-3533
Mailing address
104 1/2 N 19TH ST, OLEAN, NY 14760-1902
(585) 474-6241

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030437
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/20/2022
Last updated
01/02/2024
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