Matthew, Grace
Matthew, Grace is an individual health care provider with primary practice located at 375 Seguine Ave , Staten Island NY 10309-3932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Matthew, Grace can be contacted via phone (718) 226-2512.Contact Information
Primary practice address
375 Seguine Ave
Staten Island NY 10309-3932
Phone: (718) 226-2512
Fax: (718) 226-2098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 135938 | New York |
Profile Details
| NPI number | 1497738553 |
|---|---|
| LBN Legal business name | Matthew, Grace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497738553 | NPPES |
| New York | MEDICAID | 01268088 |
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