Matos-Puente, Patricia Mary
Matos-Puente, Patricia Mary is an sole proprietor health care provider with primary practice located at 5 Pitch Pine Ct , Northport NY 11768-2755. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Matos-Puente, Patricia Mary can be contacted via phone (631) 754-0765.Contact Information
Primary practice address
5 Pitch Pine Ct
Northport NY 11768-2755
Phone: (631) 754-0765
Fax: (631) 963-3214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 165700-1 | New York |
Profile Details
| NPI number | 1720047350 |
|---|---|
| LBN Legal business name | Matos-Puente, Patricia Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Apr 12th, 2014 - about 11 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 | 1720047350 | NPPES |
| New York | Other | PO1269713 | RAILROAD MEDICARE PIN |
| New York | MEDICAID | 01306725 | RAILROAD MEDICARE PIN |
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