Organization
BINGHAMTON PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMANDO B MATA MD (PRESIDENT)
(607) 729-0101
Entity
Organization
Contact information
Practice address
161 RIVERSIDE DR, SUITE 106, BINGHAMTON, NY 13905-4176
(607) 729-0101
(607) 729-5693
Mailing address
161 RIVERSIDE DR, SUITE 106, BINGHAMTON, NY 13905-4176
(607) 729-0101
(607) 729-5693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
134180
NY
Other
Enumeration date
01/10/2013
Last updated
04/16/2013
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