Doctor Name: | MR. MATTHEW L. SHEBES |
NPI Number: | 1013002104 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPA-C, MHA |
License Number: | 002441 |
Business Practice Address: | Long Island Jewish Medical Center-department Of Surgery 270-05, 76 Ave New Hyde Park, NY - 11042 |
Business Phone Number: | 7184707210 |
Business Fax Number: | 7183433429 |
Mailing Address: | 4 Tulipwood Dr, COMMACK |
State: | NY |
Postal Code: | 117255616 |
Phone Number: | 6315436112 |
Fax Number: | 7183433429 |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 002441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |