Mark A Matloff is a Psychologist in Syracuse, New York. Mark A Matloff practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mark A Matloff is 1295811198. The last update date is 2007-07-08.
Mark A Matloff's current location address is 409 Standish Drive, Syracuse, New York. You can contact this provider via phone number 3154463101 and fax number 3154463101. The mailing address for Mark A Matloff is 409 Standish Drive, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Matloff |
|---|---|
| Address | 409 Standish Drive, Syracuse, New York |
| Phone Number | 3154463101 |
| Fax Number | 3154463101 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1295811198 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 409 Standish Drive |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 13224 |
| Phone Number | 3154463101 |
| Fax Number | 3154463101 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 68291 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5068296B | NY | WORKERS COMPENSATION BOAR | |
| 392974 | NY | MVP | |
| 639134 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark A Matloff by the Centers for Medicare & Medicaid Services?
The Mark A Matloff has been assigned the NPI (National Provider Identifier) 1295811198. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark A Matloff is located?
The Mark A Matloff is situated at the following address: 409 Standish Drive, Syracuse, NY, 13224.
What is Mark A Matloff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark A Matloff is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did Mark A Matloff receive its 1295811198 assignment from the Centers for Medicare & Medicaid Services?
The Mark A Matloff was assigned its 1295811198 on 2006-10-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark A Matloff most recently updated or refreshed?
The details pertaining to the Mark A Matloff, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.