Individual
DR. CAROLYN MARIE HETTRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1571 WASHINGTON STREET, SUITE 201, WATERTOWN, NY 13601
(315) 782-1650
(315) 788-8547
Mailing address
1571 WASHINGTON STREET, SUITE 201, WATERTOWN, NY 13601
(315) 782-1650
(315) 788-8547
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
238345
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07165786
—
NY
Enumeration date
06/03/2007
Last updated
12/05/2025
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