Provider Demographics
NPI:1922772243
Name:AMATO MEDICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:AMATO MEDICAL ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-430-6340
Mailing Address - Street 1:5 BRIAR PATCH DR
Mailing Address - Street 2:
Mailing Address - City:WESTERLY
Mailing Address - State:RI
Mailing Address - Zip Code:02891-3564
Mailing Address - Country:US
Mailing Address - Phone:401-430-6340
Mailing Address - Fax:716-770-1918
Practice Address - Street 1:5 BRIAR PATCH DR
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-3564
Practice Address - Country:US
Practice Address - Phone:401-430-6340
Practice Address - Fax:706-770-1918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies