Individual
BETSY CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4939 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
(315) 634-6789
Mailing address
4939 BRITTONFIELD PKWY, EAST SYRACUSE, NY 13057-9208
(315) 463-1600
(315) 634-6789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010288
NY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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