Provider Demographics
NPI:1831480839
Name:KOHLER, MATTHEW RYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:RYAN
Last Name:KOHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:635 MADISON AVE STE 1301
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1088
Mailing Address - Country:US
Mailing Address - Phone:212-715-0888
Mailing Address - Fax:212-612-5188
Practice Address - Street 1:635 MADISON AVE STE 1301
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1088
Practice Address - Country:US
Practice Address - Phone:212-715-0888
Practice Address - Fax:212-612-5188
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281571207L00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology