Individual provider · Type 1 NPI

Matthew Vanvliet, PA-C

Physician Assistant · Kingston, NY

NPI number 1619852035 Active

Practice location

105 Marys Ave
Kingston, NY 12401-5829

Call (845) 334-2890 Map

Mailing address

225 Lindorf St
Ulster Park, NY 12487-5009

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X034166 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619852035

Matthew Vanvliet, PA-C's National Provider Identifier is 1619852035, issued on Aug 6, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kingston, NY. The record was last updated on Aug 6, 2025.