Individual
MR. MATTHEW MATTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,APRN,BC-ANP
Contact information
Practice address
100 SOUTHERN BLVD, NESCONSET, NY 11767-1749
(631) 361-8800
(631) 366-3462
Mailing address
100 SOUTHERN BLVD, NESCONSET, NY 11767-1749
(631) 361-8800
(631) 470-3803
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301752-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02654355
—
NY
Enumeration date
02/22/2006
Last updated
01/20/2009
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