Provider Demographics
NPI:1215241294
Name:MARLOW, CARRIE E (PA)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:E
Last Name:MARLOW
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:1000 E GENESEE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1892
Mailing Address - Country:US
Mailing Address - Phone:315-471-1044
Mailing Address - Fax:315-474-4312
Practice Address - Street 1:140 W 6TH ST STE 280
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-2551
Practice Address - Country:US
Practice Address - Phone:315-349-5822
Practice Address - Fax:315-349-5769
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2023-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY013849363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical