Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carla A Vavala, PA

Individual provider Physician Assistant · NPI 1164422366

Carla A Vavala, PA is a Physician Assistant in Syracuse, New York. Qualified in 2005, 21 years ago. Practices with New York Anesthesiology Medical Specialties PC, a 29-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

736 Irving Ave
Syracuse, NY 13210-1687
Phone: (315) 470-7551
Fax: (315) 470-2719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010379 (NY)

Record details

NPI number1164422366
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESNovember 19, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice New York Anesthesiology Medical Specialties Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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