Matas, Katherine Emily

Matas, Katherine Emily is an individual health care provider with primary practice located at 830 Washington St , Watertown NY 13601-4099. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Matas, Katherine Emily can be contacted via phone (315) 785-4615.

Contact Information

Primary practice address
830 Washington St Watertown NY 13601-4099
Phone: (315) 785-4615
Fax: (315) 785-4542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP2527 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 440054 New York

Profile Details

NPI number 1609936970
LBN Legal business name Matas, Katherine Emily
Credentials PHD, APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2006
Last updated Apr 12th, 2024 - about 8 months 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 1609936970 NPPES
New York MEDICAID 07162105

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