Individual
DR. MYRA L. MATHIS-UWANOGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 CRITTENDEN BLVD, ROCHESTER, NY 14642-3108
(585) 275-4501
Mailing address
300 CRITTENDEN BLVD BOX PSYCH, ROCHESTER, NY 14642-0001
(585) 275-8375
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
304885
NY
2084P0800X
Psychiatry Physician
Primary
304885
NY
Other
Enumeration date
05/21/2015
Last updated
07/03/2023
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