Matthew John Pergamo Valid NPI

Individual provider · Vascular Surgery Physician · Stony Brook, NY

NPI

1265967780

Type

Individual (Type 1)

Primary specialty

Vascular Surgery Physician (Surgery)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2086S0129X

License number

317843 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2017-04-21

Last updated

2024-08-26