SearchNew York164W00000X

Elisa Matteson

NPI 1841482742 · on the registry since 2007 · sole proprietor

Practice

Address
220 Sound Rd
Wading River, NY 11792
Phone
(631) 929-1303

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York