Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 283450 | NY |
NPI | 1003133612 |
---|---|
Provider Name | Dr. Matthew Peter Strachovsky |
First Address | Northport, NY 11768-1457 |
Second Address | West Islip, NY 11795-4403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2010 |
Last Update Date | 11/12/2016 |