Individual
ANIL MATTOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
285 SILLS ROAD, BLDG. 7, SUITE B, PATCHOGUE, NY 11772
(631) 654-4577
(631) 654-3391
Mailing address
285 SILLS ROAD, BLDG. 7, SUITE B, PATCHOGUE, NY 11772
(631) 654-4577
(631) 654-3391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10638
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
003037
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
10638
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
258417
NY
207RP1001X
Pulmonary Disease Physician
003037
NY
207RP1001X
Pulmonary Disease Physician
10638
NV
207RP1001X
Pulmonary Disease Physician
Primary
258417
NY
Other
Enumeration date
10/06/2005
Last updated
02/28/2024
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