Provider Demographics
NPI:1598915431
Name:DEMATTEO, CELINE RAHMAN (MD)
Entity Type:Individual
Prefix:
First Name:CELINE
Middle Name:RAHMAN
Last Name:DEMATTEO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E 37TH ST
Mailing Address - Street 2:APARTMENT 17C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3200
Mailing Address - Country:US
Mailing Address - Phone:917-974-8293
Mailing Address - Fax:
Practice Address - Street 1:415 E 37TH ST
Practice Address - Street 2:APARTMENT 17C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3200
Practice Address - Country:US
Practice Address - Phone:917-974-8293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2485362084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology