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Contact Information

MARY MATTHEOS, MD
350 W MONTAUK HWY
LINDENHURST, NY11757-5630
 Phone: 631-226-0388
 Fax: 631-226-2992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARY MATTHEOS · (Female)

NPI Number 1609977719
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 10/31/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 161119-1
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • 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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