National Provider Identifier
Mattison Gorrell, PA
Mattison Gorrell, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Olean, NY and a listed phone number of (716) 376-2258.
Profile Overview
- NPI
- 1629470265
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 25, 2014
- Last Updated
- March 24, 2022
Practice Location
- 535 Main St
- Olean, NY 14760-1500
Phone: (716) 376-2258
Mailing Address
- 535 Main St Ste 1
- Olean, NY 14760-1593
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1629470265
- Entity Type
- Individual
- Last Name
- Gorrell
- First Name
- Mattison
- Name Prefix
- Miss
- Credential
- PA
- Provider Other Last Name
- Gorrell
- Provider Other First Name
- Mattison
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 535 Main St Ste 1
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760-1593
- Mailing Country
- US
- Mailing Phone
- (716) 376-2258
- Mailing Fax
- (716) 376-2340
- Practice Street Address
- 535 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1500
- Practice Country
- US
- Practice Phone
- (716) 376-2258
- Practice Fax
- (716) 376-2340
- Enumeration Date
- September 25, 2014
- Last Updated
- March 24, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 15, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)