MEDICARE: DR. MATTHEW J. FLEIG M.D.

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
1	208M00000X	Hospitalist Physician	224764	NY
2	207Q00000X	Family Medicine Physician	224764	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760444814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW J. FLEIG M.D.

Provider Business Mailing Address
First Line	:	1736 E RIDGE RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14622-2157
Country	:	US
Telephone Number	:	585-270-8971
Fax Number	:	585-270-8976

Provider Business Practice Location Address
First Line	:	1736 E RIDGE RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14622-2157
Country	:	US
Telephone Number	:	585-270-8971
Fax Number	:	585-270-8976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	10/31/2023

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