Individual provider · Type 1 NPI

Matthew Albert Mavissakalian, DO

Allergy & Immunology Physician · Tonawanda, NY

NPI number 1790028397 Active

Practice location

2540 Sheridan Dr
Tonawanda, NY 14150-9410

Call (716) 874-8980 Map

Mailing address

2157 Main St
Buffalo, NY 14214-2648

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician Primary 207K00000X293451 (NY)

Allergy & Immunology Physician: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune dise…

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About NPI 1790028397

Matthew Albert Mavissakalian, DO's National Provider Identifier is 1790028397, issued on Apr 2, 2013. The primary taxonomy on file is Allergy & Immunology Physician (207K00000X), and the practice location is in Tonawanda, NY. The record was last updated on Nov 5, 2018.