National Provider Identifier

Gregory Manuel Destounis Matos, MD

Gregory Manuel Destounis Matos, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 756-4800.

NPI 1760123491Rochester, NYStudent in an Organized Health Care Education/Training Program

Source: public NPPES record, last updated August 01, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1760123491
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 05, 2022
Last Updated
August 01, 2022

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 756-4800

Mailing Address

  • 601 Elmwood Ave
  • Rochester, NY 14642-1311

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)

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Biography

The NPPES record for Gregory Manuel Destounis Matos, MD lists Student in an Organized Health Care Education/Training Program as the primary taxonomy and Rochester, NY as the practice location.

Full Record
NPI
1760123491
Entity Type
Individual
Last Name
Matos
First Name
Gregory
Middle Name
Manuel Destounis
Name Prefix
Dr.
Credential
MD
Mailing Street Address
601 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-1311
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) 756-4800
Enumeration Date
April 05, 2022
Last Updated
August 01, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
August 01, 2022
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)