Brockway, Matthew Metcalf

Brockway, Matthew Metcalf is an individual health care provider with primary practice located at 2212 Penfield Rd Ste 200 , Penfield NY 14526-1756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brockway, Matthew Metcalf can be contacted via phone (585) 598-8565.

Contact Information

Primary practice address
2212 Penfield Rd Ste 200 Penfield NY 14526-1756
Phone: (585) 598-8565
Fax: (585) 388-0174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 284532 New York

Profile Details

NPI number 1003251976
LBN Legal business name Brockway, Matthew Metcalf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated Jul 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003251976 NPPES
New York MEDICAID 04451061

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