Individual
MICHAEL CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5304 ROAD 68, PASCO, WA 99301-8078
(509) 543-9300
(509) 542-3059
Mailing address
P.O BOX 798, ROCKVILLE CENTRE, NY 11570
(516) 705-1373
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
007601
NY
363AS0400X
Surgical Physician Assistant
Primary
PA61005432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165948
—
WA
Enumeration date
07/05/2006
Last updated
12/15/2020
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