Macy Matheson, MD
Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).
NPI number1124962014
StatusActive
Last updated in NPPESApr 20, 2026
Details
- NPI
- 1124962014
- Entity type
- Individual (NPI-1)
- Name
- Macy Matheson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2026
- Certification date
- Apr 19, 2026
- Last updated
- Apr 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
622 W 168th StNew York, NY 10032-3720
Phone 425-971-2185
Mailing address
622 W 168th StNew York, NY 10032-3720
Phone 425-971-2185
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