Individual
JOSEPH MATTHEW COCCELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
900 FRANKLIN AVE, VALLEY STREAM, NY 11580-2145
(516) 256-6000
Mailing address
1112 30TH DR APT 218W, ASTORIA, NY 11102
(732) 672-2014
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
316546
NY
Other
Enumeration date
03/20/2019
Last updated
07/08/2022
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