Matano, Richard Anthony
Matano, Richard Anthony is an sole proprietor health care provider with primary practice located at 1010 Northern Blvd Suite 140, Great Neck NY 11021. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Matano, Richard Anthony can be contacted via phone (516) 883-0700.Contact Information
Primary practice address
1010 Northern Blvd Suite 140
Great Neck NY 11021
Phone: (516) 883-0700
Fax: (516) 883-8194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 166525 | New York |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 166525 | New York |
Profile Details
| NPI number | 1629167176 |
|---|---|
| LBN Legal business name | Matano, Richard Anthony |
| Credentials | M.D., F.A.C.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Nov 4th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629167176 | NPPES |
| New York | Other | 2811628 | AETNA US HEALTHCARE HMO |
| New York | Other | 29020P | AETNA US HEALTHCARE HMO |
| New York | Other | 11-3547376 | AETNA US HEALTHCARE HMO |
| New York | Other | 46P542 | AETNA US HEALTHCARE HMO |
| New York | MEDICAID | 01392841 | AETNA US HEALTHCARE HMO |
| New York | Other | 11-3457376 | AETNA US HEALTHCARE HMO |
| New York | Other | AA50269C | AETNA US HEALTHCARE HMO |
| New York | Other | P413776 | AETNA US HEALTHCARE HMO |
| New York | Other | 113547376-01 | AETNA US HEALTHCARE HMO |
| New York | Other | 113547376 | AETNA US HEALTHCARE HMO |
| New York | Other | 4254565 | AETNA US HEALTHCARE HMO |
| New York | Other | 4C2374 | AETNA US HEALTHCARE HMO |
| New York | Other | 11-3547376 | AETNA US HEALTHCARE HMO |
| New York | Other | 113547376 | AETNA US HEALTHCARE HMO |
| New York | Other | 9684796 | AETNA US HEALTHCARE HMO |
| New York | Other | 0508249007 | AETNA US HEALTHCARE HMO |
| New York | Other | 113547376 | AETNA US HEALTHCARE HMO |
| New York | Other | 770003087 | AETNA US HEALTHCARE HMO |
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