Individual provider · Type 1 NPI

Matthew John Pergamo

Vascular Surgery Physician · Stony Brook, NY

NPI number 1265967780 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-6402

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular Surgery Physician Primary 2086S0129X317843 (NY)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1265967780

Matthew John Pergamo's National Provider Identifier is 1265967780, issued on Apr 21, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 26, 2024.