Individual
MATTHEW CHARLES KRUPPENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2655 RIDGEWAY AVE STE 440, ROCHESTER, NY 14626
(585) 723-7705
(585) 723-7788
Mailing address
2655 RIDGEWAY AVE STE 440, ROCHESTER, NY 14626-4296
(585) 723-7705
(585) 723-7788
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
286214
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
286214
NY
Other
Enumeration date
05/13/2013
Last updated
10/23/2019
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