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Contact Information

JOHN IAMMATTEO, MD
10201 66TH RD
FOREST HILLS, NY11375-2029
 Phone: 718-830-4090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JOHN IAMMATTEO · (Male)

NPI # 1376549295
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2005
Last updated 11/03/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # A1996801
  • NY Medicaid 02457367
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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