Mata, Faye Fernandez

Mata, Faye Fernandez is an sole proprietor health care provider with primary practice located at 2630 Ridge Street , Yorktown Heights NY 10598. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mata, Faye Fernandez can be contacted via phone (914) 243-0592.

Contact Information

Primary practice address
2630 Ridge Street Yorktown Heights NY 10598
Phone: (914) 243-0592
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 369244-1 New York

Profile Details

NPI number 1356553176
LBN Legal business name Mata, Faye Fernandez
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 8th, 2007 - about 18 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 1356553176 NPPES
New York MEDICAID 02022099

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