Organization
BORIS MATUSEVICH PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS MATUSEVICH M.D. (PHYSICIAN)
(631) 669-1171
Entity
Organization
Contact information
Practice address
1175 MONTAUK HWY, SUITE 3, WEST ISLIP, NY 11795
(631) 669-1171
(631) 669-1912
Mailing address
1175 MONTAUK HWY, SUITE 3, WEST ISLIP, NY 11795
(631) 669-1171
(631) 669-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
217094
NY
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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