Individual
MATTHEW P VETRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Mailing address
6 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4079
(631) 689-6698
(631) 751-5548
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
009095-1
NY
363A00000X
Physician Assistant
009095
NY
363AM0700X
Medical Physician Assistant
009095
NY
363AS0400X
Surgical Physician Assistant
Primary
009095
NY
Other
Enumeration date
02/23/2006
Last updated
05/17/2019
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