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Individual

DR. RICHARD ANTHONY MATANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S

Contact information

Practice address
1010 NORTHERN BLVD, SUITE 140, GREAT NECK, NY 11021
(516) 883-0700
(516) 883-8194
Mailing address
1010 NORTHERN BLVD, SUITE 140, GREAT NECK, NY 11021
(516) 883-0700
(516) 883-8194

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
166525
NY
2086S0129X
Vascular Surgery Physician
Primary
166525
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01392841
NY
01
0508249007
CIGNA
NY
01
11-3457376
ISLAND GROUP ADMINISTRATO
NY
01
11-3547376
BEECHSTREET
NY
01
113547376
UNITED HEALTHCARE EMPIRE
NY
01
113547376-01
1199
NY
01
2811628
AETNA US HEALTHCARE HMO
NY
01
29020P
HIP
NY
01
4254565
AETNA US HEALTHCARE PPO
NY
01
46P542
BLUE CROSS/BLUE SHIELD
NY
01
4C2374
HEALTH NET
NY
01
770003087
RAILROAD MEDICARE
NY
01
9684796
GHI
NY
01
AA50269C
MDNY
NY
01
P413776
OXFORD HEALTHPLANS
NY
Enumeration date
10/12/2006
Last updated
11/04/2010
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