Kresge, Matthew Jason

Kresge, Matthew Jason is an individual health care provider with primary practice located at 1101 Nott St , Schenectady NY 12308-2425. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Kresge, Matthew Jason can be contacted via phone (518) 243-4000.

Contact Information

Primary practice address
1101 Nott St Schenectady NY 12308-2425
Phone: (518) 243-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 009490 New York

Profile Details

NPI number 1740208818
LBN Legal business name Kresge, Matthew Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 13th, 2007 - about 18 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 1740208818 NPPES
New York Other 000404653001 BLUE SHIELD
New York Other 040426007415 BLUE SHIELD

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