National Provider Identifier
Matthew G Sargent
Matthew G Sargent is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-7770.
Profile Overview
- NPI
- 1336625698
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- July 19, 2018
- Last Updated
- January 20, 2022
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 737-7770
Mailing Address
- 50 Glenlake Pkwy
- Ste 550
- Atlanta, GA 30328-7242
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1336625698
- Entity Type
- Individual
- Last Name
- Sargent
- First Name
- Matthew
- Middle Name
- G
- Mailing Street Address
- 50 Glenlake Pkwy
- Mailing Address Line 2
- Ste 550
- Mailing City
- Atlanta
- Mailing State
- GA
- Mailing ZIP Code
- 30328-7242
- Mailing Country
- US
- Mailing Phone
- (855) 397-0197
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-7770
- Practice Fax
- (607) 271-3686
- Enumeration Date
- July 19, 2018
- Last Updated
- January 20, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 343280 (NY, Nys License)