Healthcare Provider Details

I. General information

NPI: 1326267568
Provider Name (Legal Business Name): AYMAN Z. MATTA, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 DUTCH HILL RD
ORANGEBURG NY
10962-2185
US

IV. Provider business mailing address

99 DUTCHHILL PLAZA
ORANGEBURG NY
10962-2185
US

V. Phone/Fax

Practice location:
  • Phone: 845-359-7272
  • Fax: 845-680-6731
Mailing address:
  • Phone: 845-359-7272
  • Fax: 845-680-6731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number215965
License Number StateNY

VIII. Authorized Official

Name: DR. AYMAN Z. MATTA
Title or Position: SURGEON DIRECTOR
Credential: MD
Phone: 845-359-7272