Match, Madeline

Match, Madeline is an individual health care provider with primary practice located at 1200 Montauk Hwy , Oakdale NY 11769-1540. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Match, Madeline can be contacted via phone (631) 567-4901.

Contact Information

Primary practice address
1200 Montauk Hwy Oakdale NY 11769-1540
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 003930-1 New York

Profile Details

NPI number 1346519998
LBN Legal business name Match, Madeline
Credentials S.L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2011
Last updated Dec 27th, 2011 - about 14 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 1346519998 NPPES
New York Other 5194560 LICENSE NUMBER: 003930-1

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