Henry, Matthew Jacob

Henry, Matthew Jacob is an individual health care provider with primary practice located at 100 Port Washington Blvd Suite G01, Roslyn NY 11576-1347. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Henry, Matthew Jacob can be contacted via phone (516) 627-2173.

Contact Information

Primary practice address
100 Port Washington Blvd Suite G01 Roslyn NY 11576-1347
Phone: (516) 627-2173
Fax: (516) 365-5813
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 265468 New York

Profile Details

NPI number 1902005242
LBN Legal business name Henry, Matthew Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 14th, 2014 - about 11 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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