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Organization
ROBERT E DEMATTEO MD PLLC
Active
Organization
ROBERT E DEMATTEO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ENRICO DEMATTEO MD (SOLE PROPRIETOR)
(914) 965-3366
Entity
Organization
Contact information
Practice address
970 N BROADWAY, SUITE 209, YONKERS, NY 10701-1309
(914) 965-3366
(914) 965-1310
Mailing address
970 NORTH BROADWAY, SUITE 209, YONKERS, NY 10701-1311
(914) 965-3366
(914) 965-1310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
173247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01066435
—
NY
Enumeration date
03/22/2007
Last updated
08/22/2020
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