Individual
MATTHEW DALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-5874
(212) 305-6762
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-5874
(212) 305-6762
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279931
NY
207RH0003X
Hematology & Oncology Physician
Primary
279931-1
NY
Other
Enumeration date
06/11/2012
Last updated
07/01/2019
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