Mattiace, Kathleen J
Mattiace, Kathleen J is an sole proprietor health care provider with primary practice located at 10 Holiday Partk Dr , Hauppauge NY 11788-2111. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mattiace, Kathleen J can be contacted via phone (631) 656-6813.Contact Information
Primary practice address
10 Holiday Partk Dr
Hauppauge NY 11788-2111
Phone: (631) 656-6813
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 3382751 | New York |
Profile Details
| NPI number | 1831373869 |
|---|---|
| LBN Legal business name | Mattiace, Kathleen J |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Dec 27th, 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 | 1831373869 | NPPES |
| New York | MEDICAID | 02381831 |
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