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General NPI Number Information
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NPI Number | 1710140900
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Entity Type | Individual
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Provider Name | MATTHEW JOHN MCKAY MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 803 SHERRILL RD
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City | SHERRILL
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State | NY
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Zip | 13461-1455
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Country | US
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Telephone | 315-363-0550
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Fax | 315-370-3696
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Provider Business Mailing Address
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Address Line | 150 BROAD ST
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City | HAMILTON
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State | NY
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Zip | 13346-9575
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Country | US
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Telephone | 315-824-6549
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 249242
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License Number State | NY
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