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

TIMOTHY D MATTISON, MD

Active

TIMOTHY D MATTISON, MD is a Procedural Dermatology healthcare provider located in MOUNT KISCO, New York. NPI 1558301861 is currently active in the NPPES registry. Verify at CMS.

Procedural Dermatology · MOUNT KISCO, NY

Registration Details

NPI Number
1558301861
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2006 (20.217846207688 yrs)
Last Updated
Nov 10, 2008
Licenses
131143 (NY)
131143 (NY)

Practice Information

Address
MOUNT KISCO MEDICAL GROUP, PC
90 SOUTH BEDFORD ROAD
MOUNT KISCO, NY, 105493412
Browse NY providers · Browse ZIP 10549
Phone
9142411050
Fax
9142421516
Primary Specialty
Procedural Dermatology
207NS0135X
Additional Specialty
Procedural Dermatology

Other Procedural Dermatology Providers in MOUNT KISCO, NY

Name Credential NPI
DR. STUART MARTIN ZWEIBEL MD, PHD 1124052287
MISS AJA MARIE SNOW PA 1407185440
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.