Individual
MATTHEW THOMAS WIZA II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
217 N HIGHLAND AVE APT 1317, OSSINING, NY 10562-2937
(585) 317-2388
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
032881
NY
Other
Enumeration date
09/13/2024
Last updated
10/24/2024
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