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Dr. Richard Anthony Matano, MD,FACS
Vascular Surgery Physician in Great Neck, New York
NPI 1629167176

Richard Anthony Matano is a Vascular Surgery Physician based in Great Neck, NY and is specialized in Vascular Surgery. Richard Anthony Matano practices in Great Neck, NY and has the professional credentials of MD,FACS. The NPI Number for Richard Anthony Matano is 1629167176 and holds a License No. 166525 (New York).

The current practice location address for Richard Anthony Matano is 1010 Northern Blvd, Great Neck, NY and can be reached out via phone at 516-883-0700 and via fax at 516-883-8194. You can also correspond with Richard Anthony Matano through the mailing address at 1010 NORTHERN BLVD, GREAT NECK, NY - 11021 (mailing address contact number: 516-883-0700).

Location: 1010 Northern Blvd, Great Neck, NY, 11021
person
Provider Profile Details
NPI Number
1629167176
Provider Name
Richard Anthony Matano
Credential
MD,FACS
Provider Entity Type
Individual
Gender
Male
Address
1010 Northern Blvd, Great Neck, NY, 11021
Phone Number
516-883-0700
Fax Number
516-883-8194
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2811628 01 NY AETNA US HEALTHCARE HMO
29020P 01 NY HIP
11-3547376 01 NY BEECHSTREET
46P542 01 NY BLUE CROSS/BLUE SHIELD
01392841 05 NY
11-3457376 01 NY ISLAND GROUP ADMINISTRATO
AA50269C 01 NY MDNY
P413776 01 NY OXFORD HEALTHPLANS
113547376-01 01 NY 1199
113547376 01 NY UNITED HEALTHCARE EMPIRE
4254565 01 NY AETNA US HEALTHCARE PPO
4C2374 01 NY HEALTH NET
11-3547376 01 NY MULTIPLAN
113547376 01 NY UNITED HEALTHCARE
9684796 01 NY GHI
0508249007 01 NY CIGNA
113547376 01 NY HORIZON HEALTHCARE
770003087 01 NY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1010 Northern Blvd
City
State
Zip
11021
Phone Number
516-883-0700
Fax Number
516-883-8194
person
Provider Business Mailing Address Details
Address
1010 Northern Blvd
City
State
Zip
11021
Phone Number
516-883-0700
Fax Number
516-883-8194
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
166525 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
166525 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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