Individual
LAUREN MATERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
40 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1535
(914) 304-5288
(914) 345-1755
Mailing address
40 SAW MILL RIVER RD, HAWTHORNE, NY 10532-1535
(914) 304-5288
(914) 345-1755
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
58.008380
OH
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
322354
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2017
Last updated
05/24/2023
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