Woolley, Matthew Leon

Woolley, Matthew Leon is an individual health care provider with primary practice located at 500 Montauk Hwy Suite U, West Islip NY 11795-4418. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Woolley, Matthew Leon can be contacted via phone (631) 321-0606.

Contact Information

Primary practice address
500 Montauk Hwy Suite U West Islip NY 11795-4418
Phone: (631) 321-0606
Fax: (631) 321-1948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 216057 New York

Profile Details

NPI number 1245201136
LBN Legal business name Woolley, Matthew Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Apr 14th, 2011 - about 13 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 1245201136 NPPES
New York Other 216057 LICENSE
New York MEDICAID 02285707 LICENSE

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