Matos-Karl, Gina M

Matos-Karl, Gina M is an individual health care provider with primary practice located at 998 Crooked Hill Rd , Brentwood NY 11717-1019. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Matos-Karl, Gina M can be contacted via phone (631) 306-5714.

Contact Information

Primary practice address
998 Crooked Hill Rd Brentwood NY 11717-1019
Phone: (631) 306-5714
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10786 New York

Profile Details

NPI number 1386896538
LBN Legal business name Matos-Karl, Gina M
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2008
Last updated Oct 21st, 2008 - about 17 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 1386896538 NPPES
New York MEDICAID 02249145

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