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Organization
MATHEW T. CHENGOT MD PC
Active
Organization
MATHEW T. CHENGOT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATHEW THOMAS CHENGOT M.D. (PRESIDENT)
(631) 598-3434
Entity
Organization
Contact information
Practice address
129 BROADWAY, AMITYVILLE, NY 11701-2729
(631) 598-3434
(631) 598-4723
Mailing address
129 BROADWAY, AMITYVILLE, NY 11701-2729
(631) 598-3434
(631) 598-4723
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
148679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00826077
—
NY
05
—
0133135
—
NY
05
—
01760172
—
NY
05
—
01762716
—
NY
05
—
02585784
—
NY
Enumeration date
04/23/2007
Last updated
11/15/2022
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