Individual
MATTHEW MICHAEL TESSENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1050
(315) 462-0145
Mailing address
601 ELMWOOD AVE, BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-6733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
240072-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02755315
—
NY
Enumeration date
07/09/2006
Last updated
05/28/2021
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