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Individual

JAY MATUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
73 MARKET ST, YONKERS, NY 10710-7616
(914) 831-6830
(914) 831-6831
Mailing address
800 WESTCHESTER AVE STE N715, RYE BROOK, NY 10573-1369
(914) 607-5730
(914) 457-1195

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
054294
CT
207VX0000X
Obstetrics Physician
Primary
201576
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01936965
NY
Enumeration date
03/31/2006
Last updated
12/08/2021
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