Individual
MR. JOSE O. MATEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1028 E 179TH ST, EARLY INTERVENTION DEPT., BRONX, NY 10460-2222
(718) 842-0200
(718) 542-9580
Mailing address
1028 E 179TH ST, EARLY INTERVENTION DEPT., BRONX, NY 10460-2222
(718) 842-0200
(718) 542-9580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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