Individual
MRS. CARLY HANNAH PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4057 WEST ROAD, CORTLAND, NY 13045
(607) 299-7116
Mailing address
4057 WEST ROAD, CORTLAND, NY 13045
(607) 299-7116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F354261-01
NY
Other
Enumeration date
06/12/2024
Last updated
06/13/2025
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