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Organization
RICHARD A. MATANO, MD, PC
Active
Organization
RICHARD A. MATANO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ANTHONY MATANO M.D. (OWNER)
(516) 883-0700
Entity
Organization
Contact information
Practice address
211 MAIN ST, PORT WASHINGTON, NY 11050-3211
(516) 883-0700
(516) 883-5250
Mailing address
211 MAIN ST, PORT WASHINGTON, NY 11050-3211
(516) 883-0700
(516) 883-5250
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
166525
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA1759
RAILROAD MEDICARE GROUP
NY
01
—
W39902
BLUE CROSS GROUP NUMBER
NY
Enumeration date
10/12/2006
Last updated
08/22/2020
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