| Mateer Orthodontics Pc | |
|
66 Commack Rd Ste 102 Commack NY 11725-3405 | |
| (631) 462-1970 | |
| Not Available |
| Full Name | Mateer Orthodontics Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 66 Commack Rd Ste 102, Commack, New York |
| Authorized Official Name and Position | Scott Mateer (OWNER) |
| Authorized Official Contact | 6314621970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mateer Orthodontics Pc 66 Commack Rd Ste 102 Commack NY 11725-3405 Ph: () - | Mateer Orthodontics Pc 66 Commack Rd Ste 102 Commack NY 11725-3405 Ph: (631) 462-1970 |
| NPI Number | 1144698762 |
|---|---|
| Provider Enumeration Date | 09/14/2015 |
| Last Update Date | 09/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144698762 | NPI | - | NPPES |
| 04146049 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 054930 (New York) | Primary |
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