Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW RYAN FABIAN
Deactivated Sole ProprietorMR. MATTHEW RYAN FABIAN is a Student (Health Education/Training) healthcare provider located in ITHACA, New York. NPI 1235987579 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · ITHACA, NY
This NPI has been deactivated.
The record was deactivated on January 10, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235987579
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2024 (0.67123287671233 yrs)
- Last Updated
- Jan 27, 2025
- Deactivated
- Jan 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
953 DANBY ROADITHACA, NY, 14850Browse NY providers · Browse ZIP 14850
- Phone
- 6072743011
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| ERLA PETRONETTE HEYNS | — | 1043568553 |
| JENNIFER RYAN GORDON | ATS | 1023588472 |
| MS. SAMANTHA ANNE TROETTI I | — | 1790243137 |
| CODY MATTHEW WAMSLEY | — | 1770041121 |
| TIMOTHY JAY SHEVLIN JR. | — | 1437780855 |
| MR. STEVEN WILLIAM FLOROS I | — | 1073144499 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.