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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104210160

Dominick Matarrese is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

273 Heberton Ave
Staten Island, NY 10302-1809
Phone: (718) 412-3170
Fax: (718) 420-0514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (NY)

Record details

NPI number1104210160
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2015
Last updated in NPPESMarch 26, 2015

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