Vanderbrook, Kathleen Mattoon
Vanderbrook, Kathleen Mattoon is an individual health care provider with primary practice located at 4 Coulter Rd Ste 1680 , Clifton Springs NY 14432-1122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Vanderbrook, Kathleen Mattoon can be contacted via phone (315) 906-4059.Contact Information
Primary practice address
4 Coulter Rd Ste 1680
Clifton Springs NY 14432-1122
Phone: (315) 906-4059
Fax: (315) 906-4132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F300815 | New York |
Profile Details
| NPI number | 1255340782 |
|---|---|
| LBN Legal business name | Vanderbrook, Kathleen Mattoon |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | May 19th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255340782 | NPPES |
| New York | MEDICAID | 01545275 |
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