Provider Demographics
NPI:1578720009
Name:MATTHEWS, WILLIAM GORDON (RPA-C)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:GORDON
Last Name:MATTHEWS
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
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Mailing Address - Street 1:560 RIVERSIDE DR
Mailing Address - Street 2:18C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-3202
Mailing Address - Country:US
Mailing Address - Phone:212-932-8353
Mailing Address - Fax:718-722-4265
Practice Address - Street 1:39 AUBURN PL
Practice Address - Street 2:THE FLOATING HOSPITAL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-1946
Practice Address - Country:US
Practice Address - Phone:718-834-6974
Practice Address - Fax:718-722-4265
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY008760363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant