Individual
SCOTT CHRISTOPHER MATHEIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 213-8350
Mailing address
4486 EMERSON PL, GASPORT, NY 14067-9207
(716) 213-8350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405012
NY
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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