MS. Susan Carlisle, RPA-C

NPI #1225042443 in Ithaca, New York

Provider Information

NPI Number: 1225042443
Entity Type: Individual
Name: MS. Susan Carlisle, RPA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: RPA-C
Enumeration Date: Jul 27, 2006
Last Updated: Mar 10, 2021

Practice Location

Address: 10 BRENTWOOD DR
Address 2: SUITE B
City: Ithaca
State: New York
ZIP Code: 14850-1865
Phone: (607) 266-0073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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