Search › New York › 207R00000X
John Impellizeri, D.O
NPI 1669466363 · on the registry since 2005
Practice
- Address
- 13400 Main Rd
Mattituck, NY 11952 - Phone
- (631) 298-4008
- Fax
- (631) 298-5969
- Organisation at this address
- Peconic Bay Primary Medical Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York