KEVIN R MATHISSON MD PC
Medical Practice at Central Park Ave, Scarsdale, NY

License number
New York 198609
Category
Medical Practice
Type
Ophthalmology
Owner
Name: DR. KEVIN R MATHISSON M.D.
Title: PRESIDENT
Phone: (914) 723-2020
Address
Address
1075 Central Park Ave SUITE 409, Scarsdale, NY 10583
National Provider ID: 1023288610
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEVIN R. MATHISSON, M.D., PC

1075 Central Park Ave STE 409, Scarsdale, NY 10583

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Kevin R Mathisson
Registration:
Oct 26, 1999
State ID:
2432986
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Doctor, Principals:
Kevin R Mathisson Md, 1075 Central Park Ave STE 409, Scarsdale, NY 10583 (Physical),Kevin Mathisson Medical Doctor, Principal, inactive

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