National Provider Identifier
Matthew Vandemortel, PA-C
Matthew Vandemortel, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-5276.
Profile Overview
- NPI
- 1962996520
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 18, 2018
- Last Updated
- September 05, 2020
Practice Location
- 601 Elmwood Ave Fl 416
- Rochester, NY 14642-5988
Phone: (585) 275-5276
Mailing Address
- 3098 Johnson RD
- Geneva, NY 14456-9522
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1962996520
- Entity Type
- Individual
- Last Name
- Vandemortel
- First Name
- Matthew
- Credential
- PA-C
- Mailing Street Address
- 3098 Johnson RD
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-9522
- Mailing Country
- US
- Mailing Phone
- (315) 237-7211
- Practice Street Address
- 601 Elmwood Ave Fl 416
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-5988
- Practice Country
- US
- Practice Phone
- (585) 275-5276
- Enumeration Date
- June 18, 2018
- Last Updated
- September 05, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 05, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)