Individual
ALBERT R MATUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8710 GRAND AVE, ELMHURST, NY 11373-4444
(718) 429-8300
Mailing address
78 MARION AVE, MERRICK, NY 11566-3219
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
042099-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01649150
—
NY
Enumeration date
06/14/2007
Last updated
04/05/2026
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