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Individual

CARLY LINICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
209 W STATE ST, ITHACA, NY 14850-5489
(607) 277-4341
Mailing address
360 YELLOW BARN RD, FREEVILLE, NY 13068-9626
(607) 351-9073

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023146
NY

Other

Enumeration date
01/25/2019
Last updated
01/25/2019
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