Individual
MR. MATTHEW RICHARD VANDERMEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2300 BUFFALO RD BLDG 800, ROCHESTER, NY 14624-1360
(585) 368-6370
(585) 368-6371
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 368-6370
(585) 368-6371
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
027104
NY
Other
Enumeration date
11/16/2018
Last updated
09/23/2021
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