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

Christopher Carlson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417609546

Christopher Carlson is a Physician Assistant in Cooperstown, New York. Qualified in 2023, 3 years ago. Practices with University Urology Associates, a 64-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-3456
Fax: (607) 547-3533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 1/2 N 19th St, Olean, NY 14760-1902 — (585) 474-6241

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 030437 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417609546
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 20, 2022
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address104 1/2 N 19th St, Olean, NY 14760-1902

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Urology Associates — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Cooperstown