Healthcare Provider Details

I. General information

NPI: 1538621933
Provider Name (Legal Business Name): MATTHEW NARLESKY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 LIBERTY HILL RD BLDG 2
HENNIKER NH
03242-6200
US

IV. Provider business mailing address

41 LIBERTY HILL RD STE 218
HENNIKER NH
03242-6045
US

V. Phone/Fax

Practice location:
  • Phone: 802-258-3700
  • Fax:
Mailing address:
  • Phone: 603-722-0409
  • Fax: 229-404-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number24196
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: