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

DR. DEREK NOEL MATTIMOE, MD

Active

DR. DEREK NOEL MATTIMOE, MD is a Family Medicine healthcare provider located in STONY BROOK, New York. NPI 1164494613 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · STONY BROOK, NY

Registration Details

NPI Number
1164494613
Provider Type
Individual
Gender
Male
NPI Issued
Feb 7, 2006 (20.521360466615 yrs)
Last Updated
Jul 9, 2007
License
216334 (NY)

Practice Information

Address
2500 NESCONSET HWY
BLDG 7D
STONY BROOK, NY, 117902555
Browse NY providers · Browse ZIP 11790
Phone
6317513322
Fax
6317513844
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in STONY BROOK, NY

Name Credential NPI
DR. KULSOOM SHAH M.D 1114920360
DR. SUJATHA KONNANATH PALAT M.D 1083617112
DR. MAURY J GREENBERG M.D. 1467451120
DR. WILLIAM JAMES ROBBINS M.D. 1033103312
DR. BARBARA A BOCCIA M.D. 1679545032
DR. JOSEPH CHARLES WHITE MD 1376516641
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.