NPI 1053724542
Edward Kevin Mock, CMA
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
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.