Provider Demographics
NPI:1427201565
Name:MATTHEW, DAVID L (MA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:L
Last Name:MATTHEW
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 S BUCKHOUT ST
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-2207
Mailing Address - Country:US
Mailing Address - Phone:914-964-6767
Mailing Address - Fax:
Practice Address - Street 1:184 S BUCKHOUT ST
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-2207
Practice Address - Country:US
Practice Address - Phone:914-591-7246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health