Matilsky, Noah B

Matilsky, Noah B is an sole proprietor health care provider with primary practice located at 455 W Warren Ave Ste 100 , Longwood FL 32750-4038. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Matilsky, Noah B can be contacted via phone (407) 262-2220.

Contact Information

Primary practice address
455 W Warren Ave Ste 100 Longwood FL 32750-4038
Phone: (407) 262-2220
Fax: (407) 834-5011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101262184 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME123938 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME123938 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0101262184 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME164516 Florida

Profile Details

NPI number 1427315126
LBN Legal business name Matilsky, Noah B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2012
Last updated Oct 6th, 2023 - about 2 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 1427315126 NPPES
Florida MEDICAID 119433400

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