Mauro, Matthew James

Mauro, Matthew James is an individual health care provider with primary practice located at 2365 S Clinton Ave Ste 200 , Rochester NY 14618-2663. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Mauro, Matthew James can be contacted via phone (585) 758-5700.

Contact Information

Primary practice address
2365 S Clinton Ave Ste 200 Rochester NY 14618-2663
Phone: (585) 758-5700
Fax: (585) 758-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 23778 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 023778 New York
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 023778 New York

Profile Details

NPI number 1366097693
LBN Legal business name Mauro, Matthew James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Jun 30th, 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 1366097693 NPPES
New York MEDICAID 1366097693

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