National Provider Identifier
Carly Linick, PA-C
Carly Linick, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 277-4341.
Profile Overview
- NPI
- 1780148668
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 25, 2019
- Last Updated
- January 25, 2019
Practice Location
- 209 W State St
- Ithaca, NY 14850-5489
Phone: (607) 277-4341
Mailing Address
- 360 Yellow Barn RD
- Freeville, NY 13068-9626
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1780148668
- Entity Type
- Individual
- Last Name
- Linick
- First Name
- Carly
- Credential
- PA-C
- Mailing Street Address
- 360 Yellow Barn RD
- Mailing City
- Freeville
- Mailing State
- NY
- Mailing ZIP Code
- 13068-9626
- Mailing Country
- US
- Mailing Phone
- (607) 351-9073
- Practice Street Address
- 209 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5489
- Practice Country
- US
- Practice Phone
- (607) 277-4341
- Enumeration Date
- January 25, 2019
- Last Updated
- January 25, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)