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Carolann Sutherland, PA-C

Physician Assistant in West Islip, NY. Individual provider (NPI-1).

NPI number1669943510
StatusActive
Last updated in NPPESAug 13, 2024

Details

NPI
1669943510
Entity type
Individual (NPI-1)
Name
Carolann Sutherland
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Dec 17, 2018
Certification date
Aug 13, 2024
Last updated
Aug 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–NYYes

Practice location

380 Montauk Hwy
West Islip, NY 11795-4403

Phone 631-422-5371

Mailing address

380 Montauk Hwy
West Islip, NY 11795-4403

Phone 631-422-5371

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