Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 2383071 | NY |
N | 2081P2900X | Pain Medicine | D0064260 | MD |
NPI | 1396751558 |
---|---|
Provider Name | Dr. Matthew Howard Kalter |
First Address | Bay Shore, NY 11706-8418 |
Second Address | Bay Shore, NY 11706-8418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 26/07/2007 |