Individual
MATTHEW T. HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 CHESTERFIELD DR, CHEEKTOWAGA, NY 14215-1328
(716) 940-4275
Mailing address
55 CHESTERFIELD DR, CHEEKTOWAGA, NY 14215-1328
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
008295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008295
N/A
NY
Enumeration date
05/08/2012
Last updated
05/08/2012
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