Matolka, Patrick

Matolka, Patrick is an individual health care provider with primary practice located at 35 Empire State Blvd , Castleton NY 12033-9777. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Matolka, Patrick can be contacted via phone (518) 477-2167.

Contact Information

Primary practice address
35 Empire State Blvd Castleton NY 12033-9777
Phone: (518) 477-2167
Fax: (518) 477-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 019753 New York

Profile Details

NPI number 1487005161
LBN Legal business name Matolka, Patrick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2016
Last updated Nov 21st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487005161 NPPES
New York MEDICAID 04493041

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