Organization
JDM NEUROSURGERY
Active
Organization
JDM NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A DEMATTIA (SOLE OWNER)
(212) 523-8085
Entity
Organization
Contact information
Practice address
1000 10TH AVE, SUITE 5G-50, NEW YORK, NY 10019-1147
(212) 523-8085
(212) 523-6115
Mailing address
1 MORTON SQ, APT 6DE, NEW YORK, NY 10014-7800
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/30/2013
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