National Provider Identifier
Joseph Mathis Quackenbush
Joseph Mathis Quackenbush is listed in the NPPES registry with a primary specialty of Physician Assistant in Batavia, NY and a listed phone number of (585) 344-7276.
Profile Overview
- NPI
- 1821629510
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 31, 2020
- Last Updated
- December 02, 2025
Practice Location
- 16 Bank St
- Batavia, NY 14020-2250
Phone: (585) 344-7276
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1821629510
- Entity Type
- Individual
- Last Name
- Quackenbush
- First Name
- Joseph
- Middle Name
- Mathis
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 16 Bank St
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-2250
- Practice Country
- US
- Practice Phone
- (585) 344-7276
- Practice Fax
- (585) 344-8190
- Enumeration Date
- January 31, 2020
- Last Updated
- December 02, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 02, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)