Provider Demographics
NPI:1659682086
Name:DEMATTEO, AMBER N (MS, OTR/L, BCP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:N
Last Name:DEMATTEO
Suffix:
Gender:F
Credentials:MS, OTR/L, BCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6723 TOWPATH RD
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-9506
Mailing Address - Country:US
Mailing Address - Phone:518-878-3310
Mailing Address - Fax:
Practice Address - Street 1:6723 TOWPATH RD
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-9506
Practice Address - Country:US
Practice Address - Phone:518-878-3310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016208225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty