Individual
MRS. ERICA LYNN DUTTER TRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4115 MEDICAL CENTER DR STE 115, FAYETTEVILLE, NY 13066-6636
(315) 329-2555
(315) 744-1957
Mailing address
4592 MYSTIC DR, JAMESVILLE, NY 13078-6522
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
07/07/2026
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