Matthew John Pergamo
Matthew John Pergamo is a Vascular Surgery in Stony Brook, New York. Qualified in 2017, 9 years ago. Practices with Stony Brook Surgical Associates University Faculty Practice Corporati, a 102-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 9
- Licensed in
- NY
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
Stony Brook, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X · Licence 317843 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1265967780 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 21, 2017 |
| Last updated in NPPES | August 26, 2024 |
| Certification date | August 26, 2024 |
Medicare enrollment
| Medicare specialty | VASCULAR SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | Stony Brook Surgical Associates University Faculty Practice Corporati — 102 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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