Healthcare Provider Details

I. General information

NPI: 1710140900
Provider Name (Legal Business Name): MATTHEW JOHN MCKAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 SHERRILL RD
SHERRILL NY
13461-1455
US

IV. Provider business mailing address

150 BROAD ST
HAMILTON NY
13346-9575
US

V. Phone/Fax

Practice location:
  • Phone: 315-363-0550
  • Fax: 315-370-3696
Mailing address:
  • Phone: 315-824-6549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number249242
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: