Individual
DR. ADITYA MATTOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7600
Mailing address
560 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NO LICENSE
NY
Other
Enumeration date
08/24/2008
Last updated
09/01/2011
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