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Matthew Mavissakalian, D.O
NPI 1790028397 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2540 Sheridan Dr
Tonawanda, NY 14150 - Phone
- (716) 874-8980
- Organisation at this address
- Jeffrey B. Rockoff,Md,Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 33
Registry record
- Primary taxonomy
- 207K00000X
207K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York