IndividualActive
Matthew Goorahoo
NPI 1104633718 · Electroneurodiagnostic Specialist/Technologist · Hauppauge, NY
Provider details
- NPI number
- 1104633718
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 3974 (CT)
Practice location
140 Adams Ave Ste B13
Hauppauge, NY 11788-3618
Phone: (631) 617-6011
Mailing address
140 Adams Ave Ste B13
Hauppauge, NY 11788-3618
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2024-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.