Provider Demographics
NPI:1730660457
Name:LINEHAN, CLAIRE MARSTON (PA)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MARSTON
Last Name:LINEHAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 W FAYETTE ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2866
Mailing Address - Country:US
Mailing Address - Phone:315-937-3433
Mailing Address - Fax:315-937-3833
Practice Address - Street 1:739 IRVING AVE STE 340
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1605
Practice Address - Country:US
Practice Address - Phone:315-470-7747
Practice Address - Fax:315-470-7758
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-22
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant