Individual
MATTHEW J. KRAUTHAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16 CAPRI CT, DIX HILLS, NY 11746-6410
(646) 265-2500
Mailing address
PO BOX 5234, WEST BABYLON, NY 11707-0234
(646) 265-2500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
249335
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
249335
NY
Other
Enumeration date
08/17/2009
Last updated
01/29/2025
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