Individual
ARMANDO BERNABE MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 RIVERSIDE DRIVE, SUITE 106, BINGHAMTON, NY 13905
(607) 729-0101
(607) 729-5693
Mailing address
161 RIVERSIDE DRIVE, SUITE 106, BINGHAMTON, NY 13905
(607) 729-0101
(607) 729-5693
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
1341801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00735222
—
NY
01
—
198012
MVP
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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