National Provider Identifier
Matthew Hoderlein, PA-C
Matthew Hoderlein, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Penfield, NY and a listed phone number of (585) 388-6000.
Source: public NPPES record, last updated August 14, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1811663875
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 19, 2021
- Last Updated
- August 14, 2023
Practice Location
- 481 Penbrooke Dr Ste 6
- Penfield, NY 14526-2044
Phone: (585) 388-6000
Specialties
- Physician Assistant (363A00000X)
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Full Record
- NPI
- 1811663875
- Entity Type
- Individual
- Last Name
- Hoderlein
- First Name
- Matthew
- Credential
- PA-C
- Mailing Street Address
- 481 Penbrooke Dr Ste 6
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-2044
- Mailing Country
- US
- Mailing Phone
- (585) 338-6000
- Practice Street Address
- 481 Penbrooke Dr Ste 6
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-2044
- Practice Country
- US
- Practice Phone
- (585) 388-6000
- Enumeration Date
- August 19, 2021
- Last Updated
- August 14, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 14, 2023
- Taxonomies
- Physician Assistant (363A00000X)