Mateer Orthodontics Pc | |
66 Commack Rd Ste 102 Commack NY 11725-3405 | |
(631) 462-1970 | |
Not Available |
Full Name | Mateer Orthodontics Pc |
---|---|
Speciality | Community/behavioral Health |
Location | 66 Commack Rd Ste 102, Commack, New York |
Authorized Official Name and Position | Scott Mateer (OWNER) |
Authorized Official Contact | 6314621970 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mateer Orthodontics Pc 66 Commack Rd Ste 102 Commack NY 11725-3405 Ph: () - | Mateer Orthodontics Pc 66 Commack Rd Ste 102 Commack NY 11725-3405 Ph: (631) 462-1970 |
NPI Number | 1144698762 |
---|---|
Provider Enumeration Date | 09/14/2015 |
Last Update Date | 09/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144698762 | NPI | - | NPPES |
04146049 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 054930 (New York) | Primary |
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