Mathisson, Kevin R

Mathisson, Kevin R is an individual health care provider with primary practice located at 455 Central Park Ave # 317 , Scarsdale NY 10583-1060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mathisson, Kevin R can be contacted via phone (914) 723-2020.

Contact Information

Primary practice address
455 Central Park Ave # 317 Scarsdale NY 10583-1060
Phone: (914) 723-2020
Fax: (914) 723-2011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 198609 New York

Profile Details

NPI number 1326076639
LBN Legal business name Mathisson, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Feb 24th, 2021 - about 3 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 1326076639 NPPES
New York Other 13-4086556 FEDERAL TAX ID#
New York MEDICAID 1840404 FEDERAL TAX ID#

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