Christopher Carlson

Physician Assistant · Cooperstown, NY

Individual Active NPI

NPI number 1417609546

Practice location

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone
(607) 547-3456
Fax
(607) 547-3533

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NPI record

NPI
1417609546
Entity type
Individual (Type 1)
Enumeration date
January 20, 2022
Last updated
January 2, 2024
Certified
January 2, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 030437 NY
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

104 1/2 N 19TH St
Olean, NY 14760-1902
Phone
(585) 474-6241

Other practice locations (1)

  • 104 1/2 N 19th St, Olean, NY 14760-1902 · (585) 474-6241

About Christopher Carlson

Christopher Carlson is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1 Atwell Rd, Cooperstown, NY 13326-1301. The NPI number 1417609546 was assigned on January 20, 2022 and the record was last updated on January 2, 2024.

Christopher Carlson lists a license in the registry: #030437 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Christopher Carlson?

The NPI number is 1417609546.

What is the phone number of Christopher Carlson?

The phone number listed for the practice location is (607) 547-3456.

Where is Christopher Carlson located?

1 Atwell Rd, Cooperstown, NY 13326-1301.

What is the taxonomy code for Christopher Carlson?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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