Individual provider · Type 1 NPI

Dominick Matarrese

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1104210160 Active

Practice location

273 Heberton Ave
Staten Island, NY 10302-1809

Call (718) 412-3170 Map

Fax (718) 420-0514

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104210160

Dominick Matarrese's National Provider Identifier is 1104210160, issued on Mar 26, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Mar 26, 2015.