MEDICARE: LINDA VESPOLI-MATTHEWS RD

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
1	133V00000X	Registered Dietitian	0057-1601	NY

General Provider Information

NPI Number	:	1780530568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA VESPOLI-MATTHEWS RD

Provider Business Mailing Address
First Line	:	283 COOK ST
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3525
Country	:	US
Telephone Number	:	631-327-7223
Fax Number	:

Provider Business Practice Location Address
First Line	:	283 COOK ST
Second Line	:
City	:	HUNTINGTON STATION
State	:	NY
Zip	:	11746-3525
Country	:	US
Telephone Number	:	631-327-7223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ LINDA VESPOLI-MATTHEWS RD” Practice Location

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