Individual
DR. JOSEPH A DEMATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8413 13TH AVE, LOWER LEVEL, BROOKLYN, NY 11228-3325
(718) 234-0979
(718) 234-2729
Mailing address
8413 13TH AVE, LOWER LEVEL, BROOKLYN, NY 11228-3325
(718) 234-0979
(718) 234-2729
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
223890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02697914
—
NY
Enumeration date
06/29/2006
Last updated
04/26/2010
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