Matises, Amanda Emily
Matises, Amanda Emily is an individual health care provider with primary practice located at 669 Broadway , Massapequa NY 11758-2314. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Matises, Amanda Emily can be contacted via phone (516) 799-2900.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
NPI number | 1033732060 |
---|---|
LBN Legal business name | Matises, Amanda Emily |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 26th, 2020 |
Last updated | Nov 27th, 2023 - about last year |
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 | 1033732060 | NPPES |
New York | Other | 024614 | NYS OT LICENCE |
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