Mattis, Paul J
Mattis, Paul J is an sole proprietor health care provider with primary practice located at 400 Community Dr , Manhasset NY 11030-3815. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Mattis, Paul J can be contacted via phone (516) 562-3054.Contact Information
Primary practice address
400 Community Dr
Manhasset NY 11030-3815
Phone: (516) 562-3054
Fax: (516) 562-2830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X |
Profile Details
| NPI number | 1114066792 |
|---|---|
| LBN Legal business name | Mattis, Paul J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Oct 23rd, 2019 - about 6 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 | 1114066792 | NPPES |
| New York | MEDICAID | 01708781 |
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