IndividualActive
Alejandro Matus
NPI 1790399608 · Durable Medical Equipment & Medical Supplies · Manhasset, NY
Provider details
- NPI number
- 1790399608
- Entity type
- Individual
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
1295 Northern Blvd
Manhasset, NY 11030-3035
Phone: (888) 905-0625
Fax: (866) 651-0366
Approximate (ZIP-level) locationGet directions
Mailing address
175 Quaker Ridge Rd
Manhasset, NY 11030-3333
Additional practice locations (1)
- 1129 Northern Blvd Ste 404Manhasset, NY 11030-3022Phone: (917) 304-3316Fax: (718) 228-9392
Registry dates
- Enumerated
- 2020-09-08
- Last updated
- 2020-09-08
- Certified
- 2020-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.