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NPI Code Detail

MEDICARE: DR. MATTHEW K KWIATEK MD

MEDICARE: DR. MATTHEW K KWIATEK MD
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
12085R0202XDiagnostic Radiology Physician145 808-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730185547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW K KWIATEK MD
Provider Business Mailing Address
First Line : PO BOX 631
Second Line :
City : PORT WASHINGTON
State : NY
Zip : 11050-0631
Country : US
Telephone Number : 516-767-1755
Fax Number : 516-767-1951
Provider Business Practice Location Address
First Line : 4422 3RD AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-2545
Country : US
Telephone Number : 718-960-6162
Fax Number : 718-960-3612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 07/08/2007

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