National Provider Identifier

Tyson Corell Cotton

Tyson Corell Cotton is listed in the NPPES registry with a primary specialty of Prosthetics Case Management in Rochester, NY and a listed phone number of (585) 733-9337.

NPI 1255108049Rochester, NYProsthetics Case Management

Profile Overview

NPI
1255108049
Provider Type
Individual
Primary Specialty
Prosthetics Case Management
Enumeration Date
December 11, 2023
Last Updated
December 11, 2023

Practice Location

  • 320 Greece Ridge Center Dr
  • Rochester, NY 14626-2819

Phone: (585) 733-9337

Specialties

  • Prosthetics Case Management (1744P3200X)
Full Record
NPI
1255108049
Entity Type
Individual
Last Name
Cotton
First Name
Tyson
Middle Name
Corell
Mailing Street Address
320 Greece Ridge Center Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-2819
Mailing Country
US
Practice Street Address
320 Greece Ridge Center Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-2819
Practice Country
US
Practice Phone
(585) 733-9337
Enumeration Date
December 11, 2023
Last Updated
December 11, 2023
Sex
Male
Sole Proprietor
Yes
Certification Date
December 11, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Prosthetics Case Management (1744P3200X)