# MEDICAL ARTS OBSTETRICS AND GYNECOLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538475314
- **Authorized official:** DR. MARTIN MATALON MD (PRESIDENT)
- **Authorized official phone:** (631) 665-8226

## Contact information

- **Practice address:** 375 E MAIN ST, SUITE 4, BAY SHORE, NY 11706-8496
- **Practice address phone:** (631) 665-8226
- **Mailing address:** 375 E MAIN ST, SUITE 4, BAY SHORE, NY 11706-8496
- **Mailing address phone:** (631) 665-8226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 099639 | NY | Yes |

## Other

- **Enumeration date:** 08/31/2010
- **Last updated:** 09/03/2010