person
Carolyn Rae Tidd, PA-C
Surgical Physician Assistant in Saranac Lake, New York
NPI 1538492509

Carolyn Rae Tidd is a Surgical Physician Assistant based in Saranac Lake, NY and is specialized in Surgical. Carolyn Rae Tidd practices in Saranac Lake, NY and has the professional credentials of PA-C. The NPI Number for Carolyn Rae Tidd is 1538492509 and holds a License No. 013307 (New York).

The current practice location address for Carolyn Rae Tidd is 2249 State Route 86 Ste 2, Saranac Lake, NY and can be reached out via phone at 518-354-5353 and via fax at 518-354-8153.

Location: 2249 State Route 86 Ste 2, Saranac Lake, NY, 12983-5644
person
Provider Profile Details
NPI Number
1538492509
Provider Name
Carolyn Rae Tidd
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2249 State Route 86 Ste 2, Saranac Lake, NY, 12983-5644
Phone Number
518-354-5353
Fax Number
518-354-8153
Provider Enumeration Date
09/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013307 01 NY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2249 State Route 86 Ste 2
City
State
Zip
12983-5644
Phone Number
518-354-5353
Fax Number
518-354-8153
person
Provider Business Mailing Address Details
Address
2249 State Route 86 Ste 2
City
State
Zip
12983-5644
Phone Number
518-354-5353
Fax Number
518-354-8153
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
013307 (New York)
Definition
Definition to come...
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