Individual
BRANDON MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
350 WALT WHITMAN RD, HUNTINGTON STATION, NY 11746-8704
(631) 549-0272
Mailing address
219 46TH ST, LINDENHURST, NY 11757-2012
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010587-01
NY
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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