Materia, Dana
Materia, Dana is an individual health care provider with primary practice located at 1147 Richmond Rd , Staten Island NY 10304-2423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Materia, Dana can be contacted via phone (718) 816-9056.Contact Information
Primary practice address
1147 Richmond Rd
Staten Island NY 10304-2423
Phone: (718) 816-9056
Fax: (718) 816-1165
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F334092 | New York |
Profile Details
NPI number | 1740263839 |
---|---|
LBN Legal business name | Materia, Dana |
Credentials | ANCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2005 |
Last updated | May 13th, 2010 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740263839 | NPPES |
New York | MEDICAID | 02427301 |
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