Individual
DR. THOMAS MATHEW CHENGOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
129 BROADWAY, AMITYVILLE, NY 11701
(631) 598-3434
Mailing address
129 BROADWAY, AMITYVILLE, NY 11701-2729
(631) 598-3434
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
251473
NY
Other
Enumeration date
05/21/2009
Last updated
09/12/2014
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