National Provider Identifier

Carrie Carissa Akin

Carrie Carissa Akin is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Geneva, NY and a listed phone number of (315) 789-5061.

NPI 1427525542Geneva, NYSurgical Physician Assistant

Profile Overview

NPI
1427525542
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
October 26, 2018
Last Updated
October 12, 2020

Practice Location

  • 875 Pre Emption RD
  • Geneva, NY 14456-2042

Phone: (315) 789-5061

Mailing Address

  • 17 Eckerson Ave
  • Akron, NY 14001

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1427525542
Entity Type
Individual
Last Name
Akin
First Name
Carrie
Middle Name
Carissa
Name Prefix
Miss
Mailing Street Address
17 Eckerson Ave
Mailing City
Akron
Mailing State
NY
Mailing ZIP Code
14001
Mailing Country
US
Mailing Phone
(716) 923-3435
Practice Street Address
875 Pre Emption RD
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2042
Practice Country
US
Practice Phone
(315) 789-5061
Enumeration Date
October 26, 2018
Last Updated
October 12, 2020
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
October 12, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)