Individual
AMANDA MATTEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 MONTAUK HWY, COPIAGUE, NY 11726-4904
(631) 842-4606
(631) 842-0803
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6805
(347) 841-9109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
041361
NY
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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