| Matthew J Dortona Psyd, Pllc | |
|
100 N Main St Ste 202 Elmira NY 14901-2901 | |
| (607) 738-8887 | |
| (855) 209-5530 |
| Full Name | Matthew J Dortona Psyd, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 N Main St Ste 202, Elmira, New York |
| Authorized Official Name and Position | Matthew J D'ortona (PSYCHOLOGIST) |
| Authorized Official Contact | 6077388887 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Dortona Psyd, Pllc 100 N Main St Ste 202 Elmira NY 14901-2901 Ph: (607) 738-8887 | Matthew J Dortona Psyd, Pllc 100 N Main St Ste 202 Elmira NY 14901-2901 Ph: (607) 738-8887 |
| NPI Number | 1386266658 |
|---|---|
| Provider Enumeration Date | 05/10/2020 |
| Last Update Date | 12/28/2020 |
| Certification Date | 12/28/2020 |
| Medicare PECOS PAC ID | 3678994308 |
|---|---|
| Medicare Enrollment ID | O20200604000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386266658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Matthew J Dortona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942391206 PECOS PAC ID: 5698711745 Enrollment ID: I20120203000470 |
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