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Individual
DR. AYMAN MATTA
Active
Individual
DR. AYMAN MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
215965-1
NY
207W00000X
Ophthalmology Physician
Primary
215965-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056446
GHI MEDICAID ID #
NY
05
—
02215396
—
NY
01
—
0498447
GHI PPO ID #
NY
01
—
10059047
CDPHP ID #
NY
01
—
215965
HIP ID #
NY
01
—
3471925
AETNA HMO ID #
NY
01
—
3C6549
HEALTHNET ID #
NY
01
—
41206000018
FIDELIS ID #
NY
01
—
455A61
EMPIRE BCBS OF NY ID #
NY
01
—
7733286
AETNA PPO ID #
NY
01
—
H20323
UPIN #
NY
01
—
P3302156
OXFORD ID #
NY
01
—
U70433
AMERIHEALTH ADMINISTRATOR
NY
Enumeration date
10/10/2005
Last updated
12/21/2023
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