Individual
MISS CASSANDRA LEE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 ORCHARD PARK RD, WEST SENECA, NY 14224-4658
(716) 675-5222
(716) 675-9329
Mailing address
3050 ORCHARD PARK RD, WEST SENECA, NY 14224-4658
(716) 766-5222
(716) 675-9329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161407144
TAXID
NY
01
—
1639239221
GROUP
—
Enumeration date
10/25/2018
Last updated
01/02/2026
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