National Provider Identifier
Myra L. Mathis-Uwanogho, MD
Myra L. Mathis-Uwanogho, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Rochester, NY and a listed phone number of (585) 275-4501.
Profile Overview
- NPI
- 1962881128
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- May 21, 2015
- Last Updated
- July 03, 2023
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-3108
Phone: (585) 275-4501
Mailing Address
- 300 Crittenden Blvd Box Psych
- Rochester, NY 14642-0001
Specialties
- Psychiatry Physician (2084P0800X)
- Forensic Psychiatry Physician (2084F0202X)
Endpoints
- mmathis74815@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1962881128
- Entity Type
- Individual
- Last Name
- Mathis-Uwanogho
- First Name
- Myra
- Middle Name
- L.
- Name Prefix
- Dr.
- Credential
- MD
- Provider Other Last Name
- Mathis
- Provider Other First Name
- Myra
- Provider Other Middle Name
- L
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 300 Crittenden Blvd Box Psych
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-8375
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-3108
- Practice Country
- US
- Practice Phone
- (585) 275-4501
- Enumeration Date
- May 21, 2015
- Last Updated
- July 03, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 14, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Forensic Psychiatry Physician (2084F0202X)