National Provider Identifier
Matthew D Mack, MD
Matthew D Mack, MD is listed in the NPPES registry with a primary specialty of General Practice Physician in Rochester, NY and a listed phone number of (585) 235-2250.
Profile Overview
- NPI
- 1770506958
- Provider Type
- Individual
- Primary Specialty
- General Practice Physician
- Enumeration Date
- July 26, 2006
- Last Updated
- April 15, 2025
Practice Location
- 340 Arnett Blvd
- Rochester, NY 14619-1147
Phone: (585) 235-2250
Mailing Address
- 180 Mount Vernon Ave
- Rochester, NY 14620-2344
Specialties
- General Practice Physician (208D00000X)
Full Record
- NPI
- 1770506958
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Matthew
- Middle Name
- D
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 180 Mount Vernon Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2344
- Mailing Country
- US
- Mailing Phone
- (585) 747-3297
- Practice Street Address
- 340 Arnett Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1147
- Practice Country
- US
- Practice Phone
- (585) 235-2250
- Practice Fax
- (585) 235-0011
- Enumeration Date
- July 26, 2006
- Last Updated
- April 15, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Physician (208D00000X)