Organization
SKIP OF NEW YORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAR MATTICE (SUPERVISOR)
(585) 352-7775
Entity
Organization
Contact information
Practice address
50 VANTAGE POINT DR, SUITE 4, ROCHESTER, NY 14624-1180
(585) 352-7775
(585) 352-7879
Mailing address
50 VANTAGE POINT DR, SUITE 4, ROCHESTER, NY 14624-1180
(585) 352-7775
(585) 352-7879
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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