Joseph Mattana, MD | |
200 Old Country Rd, Suite 135, Mineola, NY 11501-4235 | |
(516) 663-2169 | |
(516) 663-2179 |
Full Name | Joseph Mattana |
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Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 200 Old Country Rd, Mineola, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538230628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 181224 (New York) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 57022 (Connecticut) | Primary |
Entity Name | Metropolitan Medical Practice Plan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171 |
Entity Name | Physician Affiliate Group Of New York Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013375526 PECOS PAC ID: 4688098833 Enrollment ID: O20200721001270 |
Mailing Address | Practice Location Address |
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Joseph Mattana, MD 2800 Main St, Bridgeport, CT 06606-4201 Ph: (475) 210-5022 | Joseph Mattana, MD 200 Old Country Rd, Suite 135, Mineola, NY 11501-4235 Ph: (516) 663-2169 |
Dr. Marlene Martins Lobato, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 173 Mineola Blvd, Suite 403, Mineola, NY 11501 Phone: 516-741-8891 Fax: 516-741-8829 | |
Michael Garrison, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 Old Country Rd, Suite 450, Mineola, NY 11501 Phone: 516-663-9500 Fax: 516-663-4613 | |
Dr. Anupama Ananda, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 190 Willis Ave, Suite 210, Mineola, NY 11501 Phone: 516-739-7290 Fax: 516-793-7291 | |
Mr. Jeffrey Liu, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 297 Mineola Blvd, Mineola, NY 11501 Phone: 516-294-1377 Fax: 516-294-5574 | |
Dr. Jonathan Shulman, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2381 | |
John I Hogan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 222 Station Plz N Ste 432, Mineola, NY 11501 Phone: 516-663-2507 | |
Dr. Anthony Massimillo, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Old Country Rd Ste 31, Mineola, NY 11501 Phone: 516-294-9380 Fax: 516-294-5351 |