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

Mattituck Family Medicine PLLC

Organization Family Medicine Physician · NPI 1538349949

Mattituck Family Medicine PLLC is a Family Medicine Physician in Mattituck, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7555 Main Rd
Mattituck, NY 11952-1516
Phone: (631) 298-1678
Fax: (631) 298-1679
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 199364 (NY)

Record details

NPI number1538349949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Carlson — Owner · (631) 298-1678
NPI enumeratedNovember 14, 2007
Last updated in NPPESMay 19, 2008
Mailing addressPo Box 111, Mattituck, NY 11952-0111

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