Healthcare Provider Details

I. General information

NPI: 1285054056
Provider Name (Legal Business Name): MATTHEW NEGREY MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 TOMPKINS ST
CORTLAND NY
13045-3393
US

IV. Provider business mailing address

260 TOMPKINS ST
CORTLAND NY
13045-3393
US

V. Phone/Fax

Practice location:
  • Phone: 607-756-9941
  • Fax:
Mailing address:
  • Phone: 607-756-9941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number336412
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number336412
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: