Individual
DR. AYMAN MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 DUTCH HILL RD, ORANGEBURG, NY 10962-2185
(845) 359-7272
(845) 680-6731
Mailing address
99 DUTCH HILL RD, ORANGEBURG, NY 10962-2185
(845) 359-7272
(845) 680-6731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
215965-1
NY
207W00000X
Ophthalmology Physician
Primary
215965-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056446
GHI MEDICAID ID #
NY
05
—
02215396
—
NY
01
—
0498447
GHI PPO ID #
NY
01
—
10059047
CDPHP ID #
NY
01
—
215965
HIP ID #
NY
01
—
3471925
AETNA HMO ID #
NY
01
—
3C6549
HEALTHNET ID #
NY
01
—
41206000018
FIDELIS ID #
NY
01
—
455A61
EMPIRE BCBS OF NY ID #
NY
01
—
7733286
AETNA PPO ID #
NY
01
—
H20323
UPIN #
NY
01
—
P3302156
OXFORD ID #
NY
01
—
U70433
AMERIHEALTH ADMINISTRATOR
NY
Enumeration date
10/10/2005
Last updated
12/21/2023
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