Matthew Esteban Mantilla

NPI #1235745605 in Cooperstown, New York

Provider Information

NPI Number: 1235745605
Entity Type: Individual
Name: Matthew Esteban Mantilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 21, 2020
Last Updated: Aug 8, 2024

Practice Location

Address: 1 ATWELL RD
City: Cooperstown
State: New York
ZIP Code: 13326-1301
Phone: (607) 547-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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