Individual
JOSEPH MATTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 OLD COUNTRY RD, SUITE 135, MINEOLA, NY 11501-4235
(516) 663-2169
(516) 663-2179
Mailing address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(475) 210-5022
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
181224
NY
207RN0300X
Nephrology Physician
Primary
57022
CT
Other
Enumeration date
11/13/2006
Last updated
10/30/2020
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