Individual
TYSON CORELL COTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 GREECE RIDGE CENTER DR, ROCHESTER, NY 14626-2819
(585) 733-9337
Mailing address
320 GREECE RIDGE CENTER DR, ROCHESTER, NY 14626-2819
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
BSO-16-00469
NY
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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