Individual
DR. MATTHEW FRANK TITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UNIVERSITY HOSPITAL, DEPT ANESTHESIOLOGY - HSC4 #60, STONY BROOK, NY 11794-8480
(631) 444-2975
(631) 444-2907
Mailing address
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF ANESTHESIOLOGY, STONY BROOK, NY 11794-8480
(631) 444-2975
(631) 444-2907
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
249978
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400003709
MCR PTAN
NY
Enumeration date
05/12/2008
Last updated
03/29/2011
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