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

Kenneth F Mattucci Mdpc

Organization Otolaryngology Physician · NPI 1790920312

Kenneth F Mattucci Mdpc is an Otolaryngology Physician in Great Neck, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

29 Barstow Rd
Great Neck, NY 11021-2209
Phone: (516) 482-7690
Fax: (516) 482-4122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 096685 (NY)

Record details

NPI number1790920312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Mattucci — Pres · (516) 482-7960
NPI enumeratedDecember 10, 2008
Last updated in NPPESJanuary 12, 2009
Mailing address29 Barstow Rd, Great Neck, NY 11021-2209

Other providers in Great Neck