Individual
MRS. CARA MARIE INNUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1150 YOUNGS RD, SUITE 104, WILLIAMSVILLE, NY 14221-8053
(716) 636-7979
(716) 636-7993
Mailing address
1150 YOUNGS RD, SUITE 104, WILLIAMSVILLE, NY 14221-8053
(716) 636-7979
(716) 636-7993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006962
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01978427
—
NY
Enumeration date
04/26/2006
Last updated
07/13/2010
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