Provider Demographics
NPI:1346681228
Name:MATTHEWS, KATHY CHYJEK (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:CHYJEK
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:CHYJEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-3225
Mailing Address - Fax:212-746-8008
Practice Address - Street 1:525 E 68TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-3225
Practice Address - Fax:212-746-8008
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY289229207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty