Individual
MATTHEW G SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
50 GLENLAKE PKWY, STE 550, ATLANTA, GA 30328-7242
(855) 397-0197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
343280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343280
NYS LICENSE
NY
Enumeration date
07/19/2018
Last updated
01/20/2022
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