Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 288040 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 288040 | NY |
NPI | 1083903371 |
---|---|
Provider Name | Dr. Matthew C Bessette |
First Address | Rochester, NY 14625-0001 |
Second Address | Rochester, NY 14625-2665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
288040 | LICENSE (01) | NY |