Robert E Dematteo Md Pllc

LBN: Robert E Dematteo Md Pllc
Robert E Dematteo Md Pllc is an health care organization with primary practice located at 970 N Broadway Suite 209, Yonkers NY 10701-1309. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Robert E Dematteo Md Pllc can be contacted via phone (914) 965-3366, or through Dematteo, Robert Enrico via phone (914) 965-3366.

Contact Information

Primary practice address
970 N Broadway Suite 209 Yonkers NY 10701-1309
Fax: (914) 965-1310
Website:
Authorized official contact:
Name: Dematteo, Robert Enrico Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 173247 New York

Profile Details

NPI number 1235255142
LBN Legal business name Robert E Dematteo Md Pllc
DBA Doing business as
Authorized official Dematteo, Robert Enrico Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235255142 NPPES
New York MEDICAID 01066435

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