MEDICARE: MATTHEW MURACCO PSYD

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	103T00000X	Psychologist	028110-01	NY

General Provider Information

NPI Number	:	1780510552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW MURACCO PSYD

Provider Business Mailing Address
First Line	:	1995 DELAWARE AVE APT 3G
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14216-3589
Country	:	US
Telephone Number	:	570-903-2477
Fax Number	:

Provider Business Practice Location Address
First Line	:	1995 DELAWARE AVE APT 3G
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14216-3589
Country	:	US
Telephone Number	:	570-903-2477
Fax Number	:

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

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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