Whalio Doctors

NPI 1053724542

Edward Kevin Mock, CMA

Practitioner Nurse's Aide Fulton, NY

Practice location

Address
98 N 2nd St Suite 100, Fulton, NY 13069-1254
Phone
(315) 326-3555
Mailing address
6207 Diffin Rd, Cicero, NY 13039-9399

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X

Registry record

NPI
1053724542
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jun 2014
Record last updated
3 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.