Matus, Nikki Isis

Matus, Nikki Isis is an individual health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Matus, Nikki Isis can be contacted via phone (631) 807-4241.

Contact Information

Primary practice address
101 Nicolls Rd Stony Brook NY 11794-0001
Phone: (631) 807-4241
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 310367 New York

Profile Details

NPI number 1063142529
LBN Legal business name Matus, Nikki Isis
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 3 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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