Brooke Clarinda Matus, PA
Physician Assistant in Geneva, NY. Individual provider (NPI-1).
NPI number1144955352
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1144955352
- Entity type
- Individual (NPI-1)
- Name
- Brooke Clarinda Matus
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1150 State Route 5 And 20Geneva, NY 14456-9543
Phone 315-789-5758
Mailing address
17 Webster StNewport, RI 02840-4030
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