Organization
MATEER ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MATEER (OWNER)
(631) 462-1970
Entity
Organization
Contact information
Practice address
66 COMMACK RD STE 102, COMMACK, NY 11725-3405
(631) 462-1970
Mailing address
66 COMMACK RD STE 102, COMMACK, NY 11725-3405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
054930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04146049
—
NY
Enumeration date
09/14/2015
Last updated
09/14/2015
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