Individual provider · Type 1 NPI

Matthew James Procaccini, PA

Medical Physician Assistant · Staten Island, NY

NPI number 1801043914 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305

Call (718) 226-9158 Map

Fax (718) 226-6964

Mailing address

One Edgewater Street
Staten Island, NY 10305

Other practice locations

  • 385 W Main St, Avon, CT 06001-4357 · (860) 777-1280

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X013719 (NY)
Medical Physician Assistant Primary 363AM0700X6015 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1801043914

Matthew James Procaccini, PA's National Provider Identifier is 1801043914, issued on Aug 20, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Staten Island, NY. The record was last updated on Mar 23, 2023.