Mateo, William

Mateo, William is an sole proprietor health care provider with primary practice located at 2976 Northern Blvd , Long Island City NY 11101-2822. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Mateo, William can be contacted via phone (347) 510-3622.

Contact Information

Primary practice address
2976 Northern Blvd Long Island City NY 11101-2822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1144476177
LBN Legal business name Mateo, William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2008
Last updated Aug 11th, 2008 - about 16 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 1144476177 NPPES
New York MEDICAID 02740141

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