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1356755011
MATTHEW BUSHART
ROCHESTER, NY
NPI
1356755011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: NY 17583)
Enumeration Date
2014-06-19
Last Update Date
2023-06-28
Business Address
Mr. MATTHEW BUSHART
601 ELMWOOD AVE
ROCHESTER, NY 14642-0001
Phone number: 585-275-2100
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Mailing Address
Mr. MATTHEW BUSHART
263 RHINECLIFF DR
ROCHESTER, NY 14618-1619
Phone number:
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