Labella, Matthew G

Labella, Matthew G is an individual health care provider with primary practice located at 89 Genesee St , New Hartford NY 13413-2336. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Labella, Matthew G can be contacted via phone (315) 735-2294.

Contact Information

Primary practice address
89 Genesee St New Hartford NY 13413-2336
Phone: (315) 735-2294
Fax: (315) 735-2021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011928 New York

Profile Details

NPI number 1942400783
LBN Legal business name Labella, Matthew G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Sep 17th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942400783 NPPES
New York MEDICAID 03126161

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