Individual
DR. MATTHEW ANGELO TESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4433 VESTAL PKWY E, VESTAL, NY 13850-3556
(607) 772-8772
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005943
NY
213E00000X
Podiatrist
SC005724
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011975760001
—
PA
05
—
1011975760002
—
PA
05
—
1011975760003
—
PA
05
—
1011975760004
—
PA
Enumeration date
11/30/2005
Last updated
03/08/2024
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