Provider Information for 1073011870
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MATTHEW NEIL MASON PA
Sex: Male
NPI: 1073011870
Last Updated: 2021-11-24
Certification Date: 2021-11-24
Certification Date: 2021-11-24
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1073011870 | ||||||||
| Enumeration Date | 2018-01-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 601 ELMWOOD AVENUE BOX 655 ROCHESTER, NY 14642-8655 United States Phone: 585-273-4398 | Fax: | ||||||||
| Primary Practice Address | 1300 JEFFERSON RD STE 100 ROCHESTER, NY 14623-3195 United States Phone: 585-413-1800 | Fax:585-413-3499 | ||||||||
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