Individual
DR. CORY MICHAEL MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
406 FRANKLIN ST, SMETHPORT, PA 16749-1277
(814) 887-5655
(814) 887-1911
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(933) 953-2016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1288
NE
Other
Enumeration date
05/07/2013
Last updated
03/30/2020
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