Individual
JOSEPH WILLIAM MATHEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MADISON AVE, SUITE 2B, ELMIRA, NY 14901-3218
(607) 732-1310
(607) 733-0940
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
143128-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00488555
—
NY
05
—
102653152
—
PA
Enumeration date
06/29/2006
Last updated
10/03/2016
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