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1164494613
DEREK NOEL MATTIMOE
STONY BROOK, NY
NPI
1164494613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 216334)
Enumeration Date
2006-02-07
Last Update Date
2007-07-09
Business Address
Dr. DEREK NOEL MATTIMOE MD
2500 NESCONSET HWY BLDG 7D
STONY BROOK, NY 11790-2555
Phone number: 631-751-3322
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Mailing Address
Dr. DEREK NOEL MATTIMOE MD
2500 NESCONSET HWY BLDG 7D
STONY BROOK, NY 11790-2555
Phone number: 631-751-3322
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