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NPI Code Detail

MEDICARE: MR. GIOVANNI MATURO

MEDICARE:  MR. GIOVANNI  MATURO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistNY

General Provider Information

NPI Number : 1134379522
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GIOVANNI MATURO
Provider Business Mailing Address
First Line : 1377 MOTOR PKWY
Second Line : STE 307
City : ISLANDIA
State : NY
Zip : 11749-5258
Country : US
Telephone Number : 631-580-5200
Fax Number : 631-580-5222
Provider Business Practice Location Address
First Line : 939 ATLANTIC AVE
Second Line :
City : BALDWIN
State : NY
Zip : 11510-4240
Country : US
Telephone Number : 516-517-0404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2008
Last Update Date : 01/20/2021

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Directions to “ MR. GIOVANNI MATURO ” Practice Location

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