Individual
DAVID MATTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1122 MOHAWK ST, UTICA, NY 13501-3750
(315) 235-0204
(315) 235-0214
Mailing address
PO BOX 1000, MS3000, PORTLAND, ME 04104-5005
(207) 885-7454
(207) 396-2028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
053786-1
NY
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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