National Provider Identifier
Matthew Thuja, PA-C
Matthew Thuja, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Ovid, NY and a listed phone number of (607) 403-0065.
Profile Overview
- NPI
- 1477003416
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 13, 2016
- Last Updated
- April 04, 2017
Practice Location
- 7150 Main St
- Ovid, NY 14521-9401
Phone: (607) 403-0065
Mailing Address
- PO Box 423
- Penn Yan, NY 14527-0423
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1477003416
- Entity Type
- Individual
- Last Name
- Thuja
- First Name
- Matthew
- Credential
- PA-C
- Mailing Street Address
- PO Box 423
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-0423
- Mailing Country
- US
- Mailing Phone
- (315) 531-9102
- Mailing Fax
- (315) 531-9103
- Practice Street Address
- 7150 Main St
- Practice City
- Ovid
- Practice State
- NY
- Practice ZIP Code
- 14521-9401
- Practice Country
- US
- Practice Phone
- (607) 403-0065
- Practice Fax
- (607) 403-0093
- Enumeration Date
- October 13, 2016
- Last Updated
- April 04, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 04617121 (NY), 020239 (NY, License)