Individual
MRS. ERICA LYNN DUTTER TRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6620 FLY RD, EAST SYRACUSE, NY 13057-9791
(315) 464-4472
Mailing address
7450 ARMSTRONG RD, MANLIUS, NY 13104-1418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
002370
NY
363A00000X
Physician Assistant
020198
NY
363AS0400X
Surgical Physician Assistant
Primary
020198
NY
Other
Enumeration date
11/07/2012
Last updated
01/12/2023
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