| Doctor Name: | WILLIAM E MATTEY |
| NPI Number: | 1649380056 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 084015-1 |
| Business Practice Address: | 9190 Stout Rd Interlaken, NY - 148479707 |
| Business Phone Number: | 6075328826 |
| Business Fax Number: | |
| Mailing Address: | 9190 Stout Rd, INTERLAKEN |
| State: | NY |
| Postal Code: | 148479707 |
| Phone Number: | 6075328826 |
| Fax Number: | |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 084015-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |