Provider Demographics
NPI:1326152489
Name:SCHIRALLI, MATTHEW PERRY (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:PERRY
Last Name:SCHIRALLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:360 LINDEN OAKS DRIVE
Mailing Address - Street 2:SUITE #300
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2806
Mailing Address - Country:US
Mailing Address - Phone:585-383-8830
Mailing Address - Fax:585-383-8901
Practice Address - Street 1:4 COULTER RD STE 2605
Practice Address - Street 2:
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432-1122
Practice Address - Country:US
Practice Address - Phone:315-462-2636
Practice Address - Fax:315-462-2638
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2021-04-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY249047-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03604684Medicaid