Individual
MATTHEW J ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 E 77TH ST, DEPT OF EMERGENCY MEDICINE, NEW YORK, NY 10075
(212) 434-3042
Mailing address
2800 MARCUS AVE, DEPT OF EMERGENCY MEDICINE, NEW HYDE PARK, NY 11042-1113
(773) 296-5878
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036119361
IL
207P00000X
Emergency Medicine Physician
Primary
60 252700
NY
Other
Enumeration date
04/23/2007
Last updated
05/24/2023
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