NPI 1356158455

Matthew Dambra

Practitioner Prevention Professional Rochester, NY

Practice location

Address: 3300 Dewey Ave, Rochester, NY 14616-3741
Phone: (585) 865-1550
Mailing address: 22 Berry Grove Ln, Brockport, NY 14420-1556

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1550530211 (NY)

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Registry record

NPI: 1356158455
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2024
Record last updated: 12 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.