Individual
NICOLE CHRISTINE MATOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
9005 OLD RIVER RD, MARCY, NY 13403-3000
(315) 765-3278
Mailing address
9005 OLD RIVER RD, MARCY, NY 13403-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402212
NY
Other
Enumeration date
08/16/2017
Last updated
09/03/2019
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