Individual
CARRIE L. MATTOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
200 NORTH ST STE 101, GENEVA, NY 14456-1561
(315) 787-5111
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007913
NY
Other
Enumeration date
02/23/2006
Last updated
02/02/2024
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