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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW RYAN FABIAN

Deactivated Sole Proprietor

MR. 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 Deactivated NPIs are no longer valid for billing or credentialing.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 ROAD
ITHACA, NY, 14850
Browse 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.