Kenneth Ryan Mataragas, PA-C
NPI #1003326133 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1003326133
- Entity Type
- Individual
- Name
- Kenneth Ryan Mataragas, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 3, 2017
- Last Updated
- Jan 17, 2024
Practice Location
- Address
- 1500 NY-112 BUILDING 6
- Address 2
- SUITE C
- State
- New York
- ZIP Code
- 11776
- Phone
- (631) 732-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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