Carly Ellen Canavan, PA

NPI #1578171492 in Slingerlands, New York

Provider Information

NPI Number: 1578171492
Entity Type: Individual
Name: Carly Ellen Canavan, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 16, 2020
Last Updated: Jul 16, 2020

Practice Location

Address: 1499 NEW SCOTLAND RD
City: Slingerlands
State: New York
ZIP Code: 12159-9209
Phone: (518) 320-7517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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