Individual
MATTHEW STAMATOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
95 GRASSLANDS RD, VALHALLA, NY 10595-1652
(914) 493-7857
(914) 493-8439
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3107
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NR12321600
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
671819
NY
367500000X
Certified Registered Nurse Anesthetist
RN570337
PA
Other
Enumeration date
05/31/2012
Last updated
07/01/2013
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