Mattei, Elisa M

Mattei, Elisa M is an individual health care provider with primary practice located at 5550 Merrick Rd Ste 200 , Massapequa NY 11758-6238. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mattei, Elisa M can be contacted via phone (914) 490-6199.

Contact Information

Primary practice address
5550 Merrick Rd Ste 200 Massapequa NY 11758-6238
Phone: (914) 490-6199
Fax: (888) 852-8738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 677457 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403765-01 New York

Profile Details

NPI number 1336550359
LBN Legal business name Mattei, Elisa M
Credentials FMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2014
Last updated Jan 5th, 2022 - about 2 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 1336550359 NPPES
New York MEDICAID 677457

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