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Individual

MATTHEW COCHRAN SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRPA

Contact information

Practice address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
5949
NY

Other

Enumeration date
03/07/2023
Last updated
10/24/2023
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