| Doctor Name: | MR. MATHEW SCOTT OWITZ |
| NPI Number: | 1093757890 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | F330792-1 |
| Business Practice Address: | 600 Westage Business Ctr Dr Fishkill, NY - 125242281 |
| Business Phone Number: | 8452315560 |
| Business Fax Number: | 8452315489 |
| Mailing Address: | Po Box 7247-6822, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191700001 |
| Phone Number: | 9142411050 |
| Fax Number: | 9142421516 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 01/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F330792-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |