National Provider Identifier
Michael Mattiucci, MD
Michael Mattiucci, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Rochester, NY and a listed phone number of (585) 275-2821.
Profile Overview
- NPI
- 1356846372
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- March 30, 2018
- Last Updated
- September 16, 2025
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 275-2821
Mailing Address
- 601 Elmwood Ave Box 635
- Rochester, NY 14642-0001
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1356846372
- Entity Type
- Individual
- Last Name
- Mattiucci
- First Name
- Michael
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Ave Box 635
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-2821
- Enumeration Date
- March 30, 2018
- Last Updated
- September 16, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)