Michael David Mattiacio in Syracuse - General Practice

Michael David Mattiacio - NPI 1073631156

Michael David Mattiacio is a General Practice in Syracuse, New York. Michael David Mattiacio practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael David Mattiacio is 1073631156. The last update date is 2007-07-08.

Michael David Mattiacio's current location address is 2946 Erie Blvd E, Syracuse, New York. You can contact this provider via phone number 3154452678 and fax number 3154452838. The mailing address for Michael David Mattiacio is 2946 Erie Blvd E, Syracuse, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael David Mattiacio
Address 2946 Erie Blvd E, Syracuse, New York
Phone Number 3154452678
Fax Number 3154452838
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1073631156
Provider Enumeration Date 2007-03-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2946 Erie Blvd E
City Syracuse
State New York (NY)
Post Code 132241431
Phone Number 3154452678
Fax Number 3154452838

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 049454-1
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Michael David Mattiacio

What is the unique identification code assigned to Michael David Mattiacio by the Centers for Medicare & Medicaid Services?

The Michael David Mattiacio has been issued the NPI (National Provider Identifier) 1073631156. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Michael David Mattiacio is geographically located?

The Michael David Mattiacio is physically situated at the following location: 2946 Erie Blvd E, Syracuse, NY, 132241431.

What is Michael David Mattiacio's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Michael David Mattiacio's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1073631156 to Michael David Mattiacio?

The Centers for Medicare & Medicaid Services originally issued the 1073631156 to Michael David Mattiacio on 2007-03-27.

As of what date was the information regarding Michael David Mattiacio, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael David Mattiacio, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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