Carri L Ross, PA

NPI #1124009261 in Vestal, New York

Provider Information

NPI Number: 1124009261
Entity Type: Individual
Name: Carri L Ross, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: PA
Enumeration Date: Nov 7, 2005
Last Updated: Apr 28, 2014

Practice Location

Address: 4104 VESTAL RD
Address 2: VESTAL EXECUTIVE PARK SUITE 203
City: Vestal
State: New York
ZIP Code: 13850-3500
Phone: (607) 797-9036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Dermatology	207N00000X	Primary

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