ISAAC I MATTA, MD, Facial Plastic Surgery JOHNSON CITY, NY

Contact Information

ISAAC I MATTA, MD

30 HARRISON ST
STE 400
JOHNSON CITY, NY 13790

Phone: 607-763-8102
Fax: 607-770-7375
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Facial Plastic Surgery	207YS0123X	04	Physician/Otolaryngology
Otolaryngology	207Y00000X	04	Physician/Otolaryngology

Indicates primary specialty

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NPI Profile & details for ISAAC I MATTA · (Male)

NPI Number	`1730157686`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	03/08/2006
Last updated	05/29/2012 - About 14 years ago
Sole proprietor ¹	No
Identifiers	NY License # 111035 NY Medicaid 00365233
Hospital affiliation(s)	UNITED HEALTH SERVICES HOSPITALS INC - (Acute Care) 33-57 HARRISON STREET JOHNSON CITY, NY 13790

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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ISAAC I MATTA, MD – NPI #1730157686Facial Plastic Surgery

Contact Information

Specialty

Facial Plastic Surgery

Otolaryngology

NPI Profile & details for ISAAC I MATTA · (Male)

Reviews for ISAAC I MATTA

ISAAC I MATTA, MD – NPI #1730157686
Facial Plastic Surgery