Dematteo, Robert Enrico

Dematteo, Robert Enrico is an individual health care provider with primary practice located at 970 North Broadway Suite 209, Yonkers NY 10701-1311. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dematteo, Robert Enrico can be contacted via phone (914) 965-3366.

Contact Information

Primary practice address
970 North Broadway Suite 209 Yonkers NY 10701-1311
Phone: (914) 965-3366
Fax: (914) 965-1310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 173247 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 173247 New York

Profile Details

NPI number 1083610125
LBN Legal business name Dematteo, Robert Enrico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 13th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083610125 NPPES
New York MEDICAID 01066435

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