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Individual

DR. ROMEO MATEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 BRADHURST AVE, STE 700, HAWTHORNE, NY 10532-2140
(914) 593-7800
(914) 593-7881
Mailing address
PO BOX 5801, NEW YORK, NY 10087-5801
(914) 593-7880
(914) 593-7881

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
209800
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01866348
NY
01
770002077
RAIL ROAD MEDICARE
NY
01
97E613K221
PTAN
NY
01
97E613K223
PTAN
NY
01
97E633641
PTAN
NY
01
97E633K222
PTAN
NY
01
A400000178
PTAN
NY
Enumeration date
05/24/2005
Last updated
11/30/2021
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