Individual
MR. ALEX ANDREW DI MATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
8 BROOKSIDE DR, DRYDEN, NY 13053
(607) 279-7476
Mailing address
8 BROOKSIDE DR, DRYDEN, NY 13053
(607) 279-7476
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2602151
NY
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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