Tyler Carrick, PA

NPI #1215695564 in Oakdale, New York

Provider Information

NPI Number: 1215695564
Entity Type: Individual
Name: Tyler Carrick, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 3, 2021
Last Updated: Dec 3, 2021

Practice Location

Address: 81 CHESTNUT LN
City: Oakdale
State: New York
ZIP Code: 11769-2520
Phone: (516) 477-4303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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