Individual
ABIGAIL MATTESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 N CAROLINE ST, HERKIMER, NY 13350-1716
(315) 717-0264
(315) 717-0266
Mailing address
10 N WASHINGTON ST, MOHAWK, NY 13407-1011
(315) 679-7965
(315) 717-0266
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
010517
NY
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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