National Provider Identifier
Brooke Clarinda Matus, PA
Brooke Clarinda Matus, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneva, NY and a listed phone number of (315) 789-5758.
Profile Overview
- NPI
- 1144955352
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 21, 2022
- Last Updated
- July 21, 2022
Practice Location
- 1150 State Route 5 And 20
- Geneva, NY 14456-9543
Phone: (315) 789-5758
Mailing Address
- 17 Webster St
- Newport, RI 02840-4030
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1144955352
- Entity Type
- Individual
- Last Name
- Matus
- First Name
- Brooke
- Middle Name
- Clarinda
- Credential
- PA
- Mailing Street Address
- 17 Webster St
- Mailing City
- Newport
- Mailing State
- RI
- Mailing ZIP Code
- 02840-4030
- Mailing Country
- US
- Practice Street Address
- 1150 State Route 5 And 20
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-9543
- Practice Country
- US
- Practice Phone
- (315) 789-5758
- Enumeration Date
- July 21, 2022
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)