SearchNew York363LF0000X

Audrey Mathis, NP

NPI 1740283829 · on the registry since 2005

Practice

Address
4103 Medical Center Dr
Fayetteville, NY 13066
Phone
(315) 637-7800
Fax
(315) 637-7808
Clinicians at this address
8

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York