John Impellizeri in Mattituck - Internal Medicine
John Impellizeri - NPI 1669466363
John Impellizeri is a Internal Medicine in Mattituck, New York. John Impellizeri practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Impellizeri is 1669466363. The last update date is 2021-11-18.
John Impellizeri's current location address is 13400 Main Rd, Mattituck, New York. You can contact this provider via phone number 6312984479 and fax number 6312984236. The mailing address for John Impellizeri is 13400 Main Rd, Mattituck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Impellizeri |
|---|---|
| Address | 13400 Main Rd, Mattituck, New York |
| Phone Number | 6312984479 |
| Fax Number | 6312984236 |
| Sole Proprietor | N |
| Credentials | D.O |
NPI Number Detail
| NPI Number | 1669466363 |
|---|---|
| Provider Enumeration Date | 2005-09-08 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | 13400 Main Rd |
|---|---|
| City | Mattituck |
| State | New York (NY) |
| Post Code | 119523209 |
| Phone Number | 6312984479 |
| Fax Number | 6312984236 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 224524 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2444824 | NY | -- |
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What is the unique 10-digit identifier code assigned to John Impellizeri by the Centers for Medicare & Medicaid Services?
The John Impellizeri has been issued the NPI (National Provider Identifier) 1669466363 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John Impellizeri located?
The John Impellizeri is located at 13400 Main Rd, Mattituck, NY 119523209.
What is John Impellizeri's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Impellizeri is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669466363 to John Impellizeri?
The Centers for Medicare & Medicaid Services originally issued the 1669466363 to John Impellizeri on 2005-09-08.
As of what date were the details related to John Impellizeri most recently updated or revised?
The information pertaining to John Impellizeri, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-18.