TRAVIS T. CARLISLE

SYRACUSE, NY
NPI1871734145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  610592)
Enumeration Date2009-03-17
Last Update Date2009-03-17
Business Address
-- TRAVIS T. CARLISLE CRNA
4900 BROAD RD
SYRACUSE, NY 13215-2265
Phone number: 315-492-5522
Mailing Address
-- TRAVIS T. CARLISLE CRNA
PO BOX 2005
EAST SYRACUSE, NY 13057-4505
Phone number: 315-362-5129