Isaac I Matta
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
30 Harrison St Ste 400
Johnson City
, New York 13790
Isaac I Matta
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon
30 Harrison St Ste 400
Johnson City
, New York 13790
(607) 729-3982
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Isaac I Matta
- 346 Grand Ave
- Johnson City, NY
- Zip : 13790-2580
- Fax : (607) 729-3982
- Phone : (607) 729-8156
Second Address
- Isaac I Matta
- 30 Harrison St Ste 400
- Johnson City, NY
- Zip : 13790
- Fax : (607) 770-7375
- Phone : (607) 763-8102
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 111035 | NY |
| Y | 207YS0123X | Facial Plastic Surgeon | 111035 | NY |
National Provider Identifier
| NPI | 1730157686 |
|---|---|
| Provider Name | Isaac I Matta |
| First Address | Johnson City, NY 13790-2580 |
| Second Address | Johnson City, NY 13790 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 29/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00365233 | (05) | NY |
| B34602 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.