Christie-Mcauliffe, Carolyn A

Christie-Mcauliffe, Carolyn A is an sole proprietor health care provider with primary practice located at 5700 W Genesee St Suite 124, Camillus NY 13031-3200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Christie-Mcauliffe, Carolyn A can be contacted via phone (315) 707-7686.

Contact Information

Primary practice address
5700 W Genesee St Suite 124 Camillus NY 13031-3200
Phone: (315) 707-7686
Fax: (315) 221-9506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 335494 New York

Profile Details

NPI number 1417116492
LBN Legal business name Christie-Mcauliffe, Carolyn A
Credentials PH.D., FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2008
Last updated Oct 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417116492 NPPES
New York MEDICAID 03012764

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