Individual
MANUEL MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 LONG POND RD, DEPT. OF MEDICINE-HOSPITALIST, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Mailing address
1555 LONG POND RD, DEPT. OF MEDICINE-HOSPITALIST, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
182737
NY
208M00000X
Hospitalist Physician
Primary
182737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253896
—
NY
01
—
182737 7W CIM
WORKER'S COMPENSATION
NY
Enumeration date
06/15/2006
Last updated
12/12/2022
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