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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN RAE TIDD, PA-C

Active

CAROLYN RAE TIDD, PA-C is a Surgical Physician Assistant healthcare provider located in SARANAC LAKE, New York. NPI 1538492509 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · SARANAC LAKE, NY

Registration Details

NPI Number
1538492509
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2009 (16.919643858624 yrs)
Last Updated
Apr 2, 2025
License
013307 (NY)

Practice Information

Address
2249 STATE ROUTE 86 STE 2
SARANAC LAKE, NY, 129835644
Browse NY providers · Browse ZIP 12983
Phone
5183545353
Fax
5183548153
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in SARANAC LAKE, NY

Name Credential NPI
CAROL NEVULIS PAC 1184715260
EMILY GEDNEY PA-C 1760907778
MS. TAYLOR LIN NEDURIAN PA 1235740960
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.