Provider Demographics
NPI:1184818999
Name:MERRILL, CATHERINE C (RPAC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:C
Last Name:MERRILL
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Gender:F
Credentials:RPAC
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Mailing Address - Street 1:5000 BRITTONFIELD PKWY
Mailing Address - Street 2:SUITE A 114
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9226
Mailing Address - Country:US
Mailing Address - Phone:315-472-4701
Mailing Address - Fax:315-471-0411
Practice Address - Street 1:5000 BRITTONFIELD PKWY
Practice Address - Street 2:SUITE A 114
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9226
Practice Address - Country:US
Practice Address - Phone:315-472-4701
Practice Address - Fax:315-471-0411
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2014-12-03
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Provider Licenses
StateLicense IDTaxonomies
NY005214363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant