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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558301861 | NPPES |
| New York | MEDICAID | 00563933 |
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