Individual
KATHRYN MATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
1561 LONG POND RD STE 404, ROCHESTER, NY 14626-4135
(585) 225-7550
(585) 225-7719
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009133
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02445187
—
NY
Enumeration date
07/13/2006
Last updated
03/30/2026
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