Individual provider · Type 1 NPI

Nicole Lynn Mattes, M.S., RPA-C

Surgical Physician Assistant · Syracuse, NY

NPI number 1699005637 Active

Practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Call (315) 448-5111 Map

Fax (315) 703-5079

Mailing address

104 Union Ave, Suite 804
Syracuse, NY 13203-1843

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X013801 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1699005637

Nicole Lynn Mattes, M.S., RPA-C's National Provider Identifier is 1699005637, issued on Jan 13, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on Jul 18, 2013.