National Provider Identifier
Mark Anthony Matesich, DC
Mark Anthony Matesich, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Buffalo, NY and a listed phone number of (716) 759-4747.
Profile Overview
- NPI
- 1568952885
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- May 11, 2018
- Last Updated
- May 11, 2018
Practice Location
- 496 Pearl St
- Buffalo, NY 14202-1904
Phone: (716) 759-4747
Mailing Address
- 29 Knox Ave Lowr
- Buffalo, NY 14216-3310
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1568952885
- Entity Type
- Individual
- Last Name
- Matesich
- First Name
- Mark
- Middle Name
- Anthony
- Name Prefix
- Dr.
- Credential
- DC
- Mailing Street Address
- 29 Knox Ave Lowr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-3310
- Mailing Country
- US
- Mailing Phone
- (716) 759-4747
- Practice Street Address
- 496 Pearl St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-1904
- Practice Country
- US
- Practice Phone
- (716) 759-4747
- Enumeration Date
- May 11, 2018
- Last Updated
- May 11, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)