Chengot, Mathew Thomas

Chengot, Mathew Thomas is an sole proprietor health care provider with primary practice located at 129 Broadway , Amityville NY 11701-2729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Chengot, Mathew Thomas can be contacted via phone (631) 598-3434.

Contact Information

Primary practice address
129 Broadway Amityville NY 11701-2729
Phone: (631) 598-3434
Fax: (631) 598-4723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 148679 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 148679 New York

Profile Details

NPI number 1831147511
LBN Legal business name Chengot, Mathew Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Nov 15th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831147511 NPPES
New York MEDICAID 00826077

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