Provider Demographics
NPI:1346758679
Name:INSLEY, MATTHEW J (PA)
Entity type:Individual
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First Name:MATTHEW
Middle Name:J
Last Name:INSLEY
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Gender:M
Credentials:PA
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Mailing Address - Street 1:3041 ORCHARD PARK RD
Mailing Address - Street 2:STE C
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1238
Mailing Address - Country:US
Mailing Address - Phone:716-674-3104
Mailing Address - Fax:716-674-0666
Practice Address - Street 1:6420 TRANSIT RD STE A
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-1033
Practice Address - Country:US
Practice Address - Phone:716-845-1600
Practice Address - Fax:716-242-0201
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2025-01-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05061234Medicaid