Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Neill Zimmer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1972922599

Matthew Neill Zimmer is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Stony Brook, NY

Additional practice locations (1)

  • 100 Nicolls Rd, Stony Brook, NY 11794-8701 — (631) 632-3181

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 10269 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972922599
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 10, 2014
Last updated in NPPESAugust 7, 2018

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