Individual
ANDREA MARIE MATTELIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 250-2000
(716) 250-2040
Mailing address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 250-2000
(716) 250-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23 017438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017438
PA LICENSE
NY
01
—
23 017438
NYS
NY
Enumeration date
02/20/2014
Last updated
11/21/2018
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