Matta, Pardeep K

Matta, Pardeep K is an individual health care provider with primary practice located at 3650 Route 9W , Highland NY 12528-2033. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Matta, Pardeep K can be contacted via phone (845) 691-9155.

Contact Information

Primary practice address
3650 Route 9W Highland NY 12528-2033
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 045954 New York

Profile Details

NPI number 1710170923
LBN Legal business name Matta, Pardeep K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 21st, 2007 - 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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