Individual
DR. MATTHEW ROBERT D'ALESSANDRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(631) 734-2000
Mailing address
2040 SEAGIRT BLVD, APARTMENT 4D, FAR ROCKAWAY, NY 11691-5935
(631) 721-6145
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OS13795
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2009
Last updated
06/17/2016
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