National Provider Identifier
Carrie Cerino, PA-C
Carrie Cerino, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Newark, NY and a listed phone number of (315) 332-2022.
Profile Overview
- NPI
- 1457860124
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 26, 2017
- Last Updated
- May 11, 2021
Practice Location
- 1200 Driving Park Ave
- Newark, NY 14513
Phone: (315) 332-2022
Mailing Address
- 1200 Driving Park Ave
- Newark, NY 14513-1090
Specialties
- Medical Physician Assistant (363AM0700X)
Endpoints
- clergner201566@direct.rochesterregional.org
Direct Messaging Address | Direct | Newark, NY 14513
Full Record
- NPI
- 1457860124
- Entity Type
- Individual
- Last Name
- Cerino
- First Name
- Carrie
- Credential
- PA-C
- Provider Other Last Name
- Lergner
- Provider Other First Name
- Carrie
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1200 Driving Park Ave
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1090
- Mailing Country
- US
- Mailing Phone
- (315) 359-2656
- Mailing Fax
- (315) 359-2699
- Practice Street Address
- 1200 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 332-2022
- Enumeration Date
- September 26, 2017
- Last Updated
- May 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)