National Provider Identifier

Star Michele Mattice

Star Michele Mattice is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Rochester, NY and a listed phone number of (585) 352-7775.

NPI 1346593977Rochester, NYCase Manager/Care Coordinator

Profile Overview

NPI
1346593977
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
October 19, 2012
Last Updated
October 19, 2012

Practice Location

  • 50 Vantage Point Dr
  • Suite 4
  • Rochester, NY 14624-1180

Phone: (585) 352-7775

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1346593977
Entity Type
Individual
Last Name
Mattice
First Name
Star
Middle Name
Michele
Name Prefix
Mrs.
Mailing Street Address
50 Vantage Point Dr
Mailing Address Line 2
Suite 4
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14624-1180
Mailing Country
US
Mailing Phone
(585) 352-7775
Mailing Fax
(585) 352-7879
Practice Street Address
50 Vantage Point Dr
Practice Address Line 2
Suite 4
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14624-1180
Practice Country
US
Practice Phone
(585) 352-7775
Practice Fax
(585) 352-7879
Enumeration Date
October 19, 2012
Last Updated
October 19, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)