Individual
MATTHEW DAMBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 DEWEY AVE, ROCHESTER, NY 14616-3741
(585) 865-1550
Mailing address
22 BERRY GROVE LN, BROCKPORT, NY 14420-1556
(585) 402-1753
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1550530211
NY
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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