Individual
SARAH PHYLLIS MATTESSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
317 S MANNING BLVD STE 100, ALBANY, NY 12208-3917
(518) 525-1404
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
329460
NY
Other
Enumeration date
05/20/2019
Last updated
09/26/2024
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