Individual provider · Type 1 NPI

Susan Carlisle, RPA-C

Physician Assistant · Ithaca, NY

NPI number 1225042443 Active

Practice location

10 Brentwood Dr, Suite B
Ithaca, NY 14850-1865

Fax (607) 266-9310

Mailing address

1 Guthrie Sq
Sayre, PA 18840-1625

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X0000081 (NY)
Physician Assistant Primary 363A00000X005198-1 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1225042443

Susan Carlisle, RPA-C's National Provider Identifier is 1225042443, issued on Jul 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Ithaca, NY. The record was last updated on Mar 10, 2021.