National Provider Identifier
Matthew Dambra
Matthew Dambra is listed in the NPPES registry with a primary specialty of Prevention Professional in Rochester, NY and a listed phone number of (585) 865-1550.
Profile Overview
- NPI
- 1356158455
- Provider Type
- Individual
- Primary Specialty
- Prevention Professional
- Enumeration Date
- December 12, 2024
- Last Updated
- December 12, 2024
Practice Location
- 3300 Dewey Ave
- Rochester, NY 14616-3741
Phone: (585) 865-1550
Mailing Address
- 22 Berry Grove Ln
- Brockport, NY 14420-1556
Specialties
- Prevention Professional (405300000X)
Full Record
- NPI
- 1356158455
- Entity Type
- Individual
- Last Name
- Dambra
- First Name
- Matthew
- Mailing Street Address
- 22 Berry Grove Ln
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1556
- Mailing Country
- US
- Mailing Phone
- (585) 402-1753
- Practice Street Address
- 3300 Dewey Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-3741
- Practice Country
- US
- Practice Phone
- (585) 865-1550
- Enumeration Date
- December 12, 2024
- Last Updated
- December 12, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Prevention Professional (405300000X)