IndividualActive
Isaac Matta, MD
NPI 1730157686 · Facial Plastic Surgery Physician · Johnson City, NY
Provider details
- NPI number
- 1730157686
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 111035 (NY)
Practice location
30 Harrison St
Ste 400
Johnson City, NY 13790
Phone: (607) 763-8102
Fax: (607) 770-7375
Mailing address
346 Grand Ave
Johnson City, NY 13790-2580
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2012-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.