Individual
BRIAN MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 PARK AVE, DUNKIRK, NY 14048-2237
(716) 366-7150
Mailing address
322 PARK AVE, DUNKIRK, NY 14048-2237
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
267991
NY
Other
Enumeration date
05/14/2008
Last updated
01/25/2024
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