Chaffin, Matthew G

Chaffin, Matthew G is an individual health care provider with primary practice located at 1304 Buckley Road , Syracuse NY 13212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chaffin, Matthew G can be contacted via phone (315) 478-3311.

Contact Information

Primary practice address
1304 Buckley Road Syracuse NY 13212
Phone: (315) 478-3311
Fax: (315) 426-0796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 238054-01 New York

Profile Details

NPI number 1629154653
LBN Legal business name Chaffin, Matthew G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated May 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629154653 NPPES
New York Other 796631 MVP
New York MEDICAID 2699049 MVP
New York Other 5771741 MVP
New York Other 000928684001 MVP
New York Other 2032464 MVP
New York Other 060214000032 MVP

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