Individual
DR. KEVIN R MATHISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
455 CENTRAL PARK AVE # 317, SCARSDALE, NY 10583-1060
(914) 723-2020
(914) 723-2011
Mailing address
455 CENTRAL PARK AVE STE 317, SCARSDALE, NY 10583-1060
(914) 723-2020
(914) 723-2011
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
198609
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-4086556
FEDERAL TAX ID#
NY
05
—
1840404
—
NY
Enumeration date
06/28/2006
Last updated
02/24/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us