Individual provider · Type 1 NPI
Carol Nevulis, PAC
Surgical Physician Assistant · Saranac Lake, NY
NPI number
1184715260
Active
Practice location
2233 State Route 86
Saranac Lake, NY 12983-5644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA001333L (PA) |
| Surgical Physician Assistant Primary | 363AS0400X | 002877 (NY) |
Surgical Physician Assistant: Definition to come...
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About NPI 1184715260
Carol Nevulis, PAC's National Provider Identifier is 1184715260, issued on Sep 27, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Saranac Lake, NY. The record was last updated on Jan 8, 2016.