Individual
NANETTE MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
(631) 548-6325
Mailing address
1 HEROES WAY, RIVERHEAD, NY 11901-2054
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
329235
NY
Other
Enumeration date
03/24/2021
Last updated
10/21/2024
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