Individual
MISS CARRIE CARISSA AKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PRE EMPTION RD, GENEVA, NY 14456-2042
(315) 789-5061
Mailing address
17 ECKERSON AVE, AKRON, NY 14001
(716) 923-3435
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
025060
NY
Other
Enumeration date
10/26/2018
Last updated
10/12/2020
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