Organization
CANAL COUNTRY PA GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN ULLMAN PA-C (OWNER)
(315) 534-4384
Entity
Organization
Contact information
Practice address
258 GENESEE ST STE 203, UTICA, NY 13502-4636
(315) 790-6600
Mailing address
258 GENESEE ST STE 203, UTICA, NY 13502-4636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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