Individual
DENISE MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 THAYER ST, JAMESTOWN, NY 14701-3452
(646) 709-8693
Mailing address
176 THAYER ST, JAMESTOWN, NY 14701-3452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F357420-01
NY
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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