| Doctor Name: | DR. ROBERT MATUOZZI |
| NPI Number: | 1114103157 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 74 Fire Island Ave Babylon, NY - 117023531 |
| Business Phone Number: | 6314225253 |
| Business Fax Number: | |
| Mailing Address: | 74 Fire Island Ave, BABYLON |
| State: | NY |
| Postal Code: | 117023531 |
| Phone Number: | 6314225253 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2008 |
| NPI Last Update Date: | 01/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |