Individual
JOSE ANTONIO MATIBAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 GATES RD STE 3, VESTAL, NY 13850-2288
(813) 496-1075
(607) 772-1223
Mailing address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 756-3764
(607) 756-3766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
244648
NY
Other
Enumeration date
06/20/2007
Last updated
08/25/2010
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