Individual
ROBERT MATALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
323 E 34TH ST FL 2, NEW YORK, NY 10016-4974
(212) 263-7239
Mailing address
323 E 34TH ST FL 2, NEW YORK, NY 10016-4974
(212) 263-7239
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
094662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004238453
—
NY
01
—
A400107956
MEDICARE
NY
Enumeration date
07/11/2006
Last updated
09/16/2021
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