IndividualActive
Ethan Matone
NPI 1962335653 · Nephrology Registered Nurse · New Hyde Park, NY
Provider details
- NPI number
- 1962335653
- Entity type
- Individual
- Primary specialty
- Nephrology Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 91302901 (NY)
Practice location
2 Ohio Dr Ste 200
New Hyde Park, NY 11042-1111
Phone: (516) 563-7066
Fax: (516) 563-7067
Mailing address
10 Penataquit Dr
Brightwaters, NY 11718-1015
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.