Kenneth F Mattucci M.D.

NPI 1013957059 - Specialist - 174400000X

NPI Details
NPI 1013957059
Gender Male
Enumeration Date 06/07/2006
Last Updated 11/25/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
29 BARSTOW RD
SUITE 203
GREAT NECK NY, 11021-2209, US
Phone (516) 482-7960
Fax (516) 482-4122
Business Location
11 NOME DR
WOODBURY NY, 11797-3404, US
Phone (516) 367-4281
Fax (516) 367-3134
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 096685
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According to our database, Dr. Kenneth F Mattucci M.D. NPI is 1013957059, taxonomy code is 174400000X and license number is 096685, license state is located at New York. Kenneth F Mattucci M.D. physically located at 29 Barstow Rd, Great Neck NY, 11021-2209. NPI Number Kenneth F Mattucci M.D. has the Individual type.

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1013957059 NPI number is provided on an as is basis without warranty of any kind. 1013957059 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth F Mattucci M.D. are for informational purposes only.