Individual
MATTHEW THOMAS MONETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
6558 JERICHO TPKE, COMMACK, NY 11725-2901
(631) 462-3572
(631) 462-3569
Mailing address
6558 JERICHO TPKE, COMMACK, NY 11725-2901
(631) 462-3572
(631) 462-3569
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1400053738
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14000053738
STATE LISENCE
NY
Enumeration date
03/21/2020
Last updated
03/21/2020
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