DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENNETH F MATTUCCI, M.D.

Active Sole Proprietor

DR. KENNETH F MATTUCCI, M.D. is a Specialist healthcare provider located in GREAT NECK, New York. NPI 1013957059 is currently active in the NPPES registry. Verify at CMS.

Specialist · GREAT NECK, NY

Registration Details

NPI Number
1013957059
Provider Type
Individual
Gender
Male
NPI Issued
Jun 7, 2006 (20.147405538083 yrs)
Last Updated
Nov 25, 2008
License
096685 (NY)
Sole Proprietor
Yes

Practice Information

Address
29 BARSTOW RD
SUITE 203
GREAT NECK, NY, 110212209
Browse NY providers · Browse ZIP 11021
Phone
5164827960
Fax
5164824122
Primary Specialty
Specialist
174400000X

Other Specialist Providers in GREAT NECK, NY

Name Credential NPI
DR. DAVID LEE KATZ M.D. 1205839347
RITA WEISS M.D.,PH.D. 1578566089
PAUL STEVAN NEEDELMAN M.D. 1619971454
MARK EVAN PUGACH M.D. 1720082647
ROGER SANTIAGO LAO M.D. 1902800741
ADAM RICHARD SILVERS M.D. 1083618714
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.