Matos, Marshall Ira

Matos, Marshall Ira is an individual health care provider with primary practice located at 140 Lockwood Avenue Suite 310, New Rochelle NY 10801-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Matos, Marshall Ira can be contacted via phone (914) 576-7171.

Contact Information

Primary practice address
140 Lockwood Avenue Suite 310 New Rochelle NY 10801-4915
Fax: (914) 576-4770
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 135068 New York

Profile Details

NPI number 1982767067
LBN Legal business name Matos, Marshall Ira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jun 28th, 2010 - about 15 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 1982767067 NPPES
Other 2C4798 HEALTHNET
Other 0795550 HEALTHNET
Other 0079828 HEALTHNET
Other 93A791 HEALTHNET
Other WS965 HEALTHNET

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