Mangiapane, Matthew Jon

Mangiapane, Matthew Jon is an sole proprietor health care provider with primary practice located at 200 Hawkins Ave Unit 41 , Ronkonkoma NY 11779-8002. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Mangiapane, Matthew Jon can be contacted via phone (631) 604-8918.

Contact Information

Primary practice address
200 Hawkins Ave Unit 41 Ronkonkoma NY 11779-8002
Phone: (631) 604-8918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001010 New York

Profile Details

NPI number 1144676974
LBN Legal business name Mangiapane, Matthew Jon
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2016
Last updated Nov 30th, 2023 - about 2 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 1144676974 NPPES
New York Other 001010 NYS LMFT

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