Individual
MISS COURTNEY NICOLE ANTOINETTE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 493-1000
Mailing address
27631 COUNTY ROUTE 32, EVANS MILLS, NY 13637-3348
(724) 713-8862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028359
NY
Other
Enumeration date
08/17/2018
Last updated
05/24/2024
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