National Provider Identifier
Matthew Koval
Matthew Koval is listed in the NPPES registry with a primary specialty of Physical Therapist in Victor, NY and a listed phone number of (585) 869-5140.
Profile Overview
- NPI
- 1285147009
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 15, 2017
- Last Updated
- November 15, 2017
Practice Location
- 6534 Anthony Dr Ste C
- Victor, NY 14564-1403
Phone: (585) 869-5140
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1285147009
- Entity Type
- Individual
- Last Name
- Koval
- First Name
- Matthew
- Mailing Street Address
- 6534 Anthony Dr Ste C
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-1403
- Mailing Country
- US
- Practice Street Address
- 6534 Anthony Dr Ste C
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-1403
- Practice Country
- US
- Practice Phone
- (585) 869-5140
- Enumeration Date
- November 15, 2017
- Last Updated
- November 15, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)