Individual
CAROLINE NORA LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5999
(315) 801-8350
Mailing address
2313 DUBONNET DR # 2, MACUNGIE, PA 18062-8865
(610) 844-1323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
10/23/2018
Last updated
06/02/2023
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