National Provider Identifier
Carrie L. Mattoon, P.A.
Carrie L. Mattoon, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Geneva, NY and a listed phone number of (315) 787-5111.
Profile Overview
- NPI
- 1649245457
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 23, 2006
- Last Updated
- February 02, 2024
Practice Location
- 200 North St Ste 101
- Geneva, NY 14456-1561
Phone: (315) 787-5111
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
Endpoints
- cmattoon194733@direct.rochesterregional.org
Direct Messaging Address | Direct | Geneva, NY 14456
Full Record
- NPI
- 1649245457
- Entity Type
- Individual
- Last Name
- Mattoon
- First Name
- Carrie
- Middle Name
- L.
- Credential
- P.A.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 200 North St Ste 101
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1561
- Practice Country
- US
- Practice Phone
- (315) 787-5111
- Enumeration Date
- February 23, 2006
- Last Updated
- February 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)