Mattison, Timothy D

Mattison, Timothy D is an individual health care provider with primary practice located at Mount Kisco Medical Group, Pc 90 South Bedford Road, Mount Kisco NY 10549-3412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Mattison, Timothy D can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
Mount Kisco Medical Group, Pc 90 South Bedford Road Mount Kisco NY 10549-3412
Phone: (914) 241-1050
Fax: (914) 242-1516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 131143 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 131143 New York

Profile Details

NPI number 1558301861
LBN Legal business name Mattison, Timothy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 10th, 2008 - about 17 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 1558301861 NPPES
New York MEDICAID 00563933

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