National Provider Identifier
Scott Mattoon, PA
Scott Mattoon, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Geneva, NY and a listed phone number of (315) 462-2633.
Profile Overview
- NPI
- 1881758217
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- December 20, 2006
- Last Updated
- September 23, 2016
Practice Location
- 875 Pre Emption RD
- Geneva, NY 14456-2042
Phone: (315) 462-2633
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1881758217
- Entity Type
- Individual
- Last Name
- Mattoon
- First Name
- Scott
- Credential
- PA
- Mailing Street Address
- 875 Pre Emption RD
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2042
- Mailing Country
- US
- Practice Street Address
- 875 Pre Emption RD
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2042
- Practice Country
- US
- Practice Phone
- (315) 462-2633
- Enumeration Date
- December 20, 2006
- Last Updated
- September 23, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
- Other Identifiers
- P019P12657 (Bluechoice), 110561CU (Preferred Care)