Healthcare Provider Details

I. General information

NPI: 1437513728
Provider Name (Legal Business Name): MATTHEW DAVID BEHRINGER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 ORCHARD PARK RD STE A103
WEST SENECA NY
14224-2654
US

IV. Provider business mailing address

550 ORCHARD PARK RD STE A103
WEST SENECA NY
14224-2654
US

V. Phone/Fax

Practice location:
  • Phone: 716-677-5500
  • Fax: 716-677-5008
Mailing address:
  • Phone: 716-677-5500
  • Fax: 716-677-5008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number323517-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: