National Provider Identifier
Matthew T Wiza, DO
Matthew T Wiza, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Brockport, NY and a listed phone number of (585) 368-6870.
Profile Overview
- NPI
- 1750310348
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- July 03, 2006
- Last Updated
- April 28, 2021
Practice Location
- 6668 Fourth Section Road
- Brockport, NY 14420
Phone: (585) 368-6870
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Family Medicine Physician (207Q00000X)
Endpoints
- mwiza196718@direct.rochesterregional.org
Direct Messaging Address | Brockport, NY 14420
Full Record
- NPI
- 1750310348
- Entity Type
- Individual
- Last Name
- Wiza
- First Name
- Matthew
- Middle Name
- T
- Credential
- DO
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-0553
- Practice Street Address
- 6668 Fourth Section Road
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420
- Practice Country
- US
- Practice Phone
- (585) 368-6870
- Practice Fax
- (585) 368-6871
- Enumeration Date
- July 03, 2006
- Last Updated
- April 28, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 28, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 02641165 (NY)