National Provider Identifier
Matthew Ryan Koss
Matthew Ryan Koss is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 463-2612.
Profile Overview
- NPI
- 1225877103
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- May 21, 2024
- Last Updated
- May 21, 2024
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 463-2612
Mailing Address
- 3 Sauer Pl
- Rochester, NY 14620-2214
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1225877103
- Entity Type
- Individual
- Last Name
- Koss
- First Name
- Matthew
- Middle Name
- Ryan
- Mailing Street Address
- 3 Sauer Pl
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2214
- Mailing Country
- US
- Mailing Phone
- (585) 355-8923
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 463-2612
- Enumeration Date
- May 21, 2024
- Last Updated
- May 21, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 21, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)