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NPI Code Detail

MEDICARE: DR. MATTHEW JAMES BARRY DO

MEDICARE: DR. MATTHEW JAMES BARRY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianDOS-940HI
22084P0800XPsychiatry Physician245228-1NY

General Provider Information

NPI Number : 1912981911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW JAMES BARRY DO
Provider Business Mailing Address
First Line : ROCHESTER CALKINS VA CLINIC
Second Line : 260 CALKINS ROAD
City : ROCHESTER
State : NY
Zip : 14623
Country : US
Telephone Number : 585-463-2668
Fax Number : 585-463-2669
Provider Business Practice Location Address
First Line : 260 CALKINS RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-4210
Country : US
Telephone Number : 585-463-2668
Fax Number : 585-463-2669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 07/11/2025

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