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1013957059
KENNETH F MATTUCCI
GREAT NECK, NY
NPI
1013957059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NY 096685)
Enumeration Date
2006-06-07
Last Update Date
2008-11-25
Business Address
Dr. KENNETH F MATTUCCI M.D.
29 BARSTOW RD SUITE 203
GREAT NECK, NY 11021-2209
Phone number: 516-482-7960
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Mailing Address
Dr. KENNETH F MATTUCCI M.D.
11 NOME DR
WOODBURY, NY 11797-3404
Phone number: 516-367-4281
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