Individual
DR. CHRISTOPHER S MATKOVIC
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 MAPLE AVE, STE 204, SMITHTOWN, NY 11787-3520
(631) 265-0075
(631) 265-0078
Mailing address
80 MAPLE AVE, STE 204, SMITHTOWN, NY 11787-3520
(631) 265-0075
(631) 265-0078
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
137370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00557704
—
NY
01
—
P485065
OXFORD
NY
Enumeration date
08/18/2005
Last updated
07/08/2007
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