Individual provider · Type 1 NPI

Matthew Cesar Pelletier, DO

Student in an Organized Health Care Education/Training Program · Stony Brook, NY

NPI number 1942903414 Active

Practice location

101 Nicolls Road, Stony Brook Medicine - Hsc - Level 11 Rm 040
Stony Brook, NY 11794

Call (631) 444-2020 Map

Fax (631) 444-2894

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942903414

Matthew Cesar Pelletier, DO's National Provider Identifier is 1942903414, issued on Mar 23, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stony Brook, NY. The record was last updated on Mar 23, 2023.