Blendell, Matthew Dallas

Blendell, Matthew Dallas is an individual health care provider with primary practice located at 1401 Franklin Ave , Garden City NY 11530-1613. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Blendell, Matthew Dallas can be contacted via phone (516) 877-2626.

Contact Information

Primary practice address
1401 Franklin Ave Garden City NY 11530-1613
Phone: (516) 877-2626
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 015092 New York

Profile Details

NPI number 1083996730
LBN Legal business name Blendell, Matthew Dallas
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2011
Last updated Feb 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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