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Individual

DR. RICHARD JOHN MATTEO

Active
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Individual

DR. RICHARD JOHN MATTEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NY005372
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022861
GHI/MC
NY
01
—
0905690
AETNA/USHC
NY
01
—
5372-OB
NYS WC
NY
01
—
P780748
OXFORD
NY
Enumeration date
09/27/2005
Last updated
07/13/2026
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