Fay Matthews

NPI 1083988406 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1083988406
Gender Female
Enumeration Date 03/02/2012
Last Updated 03/12/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
23218 MERRICK BLVD
LAURELTON NY, 11413-2115, US
Phone (718) 528-3432
Fax
Business Location
23218 MERRICK BLVD
LAURELTON NY, 11413-2115, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 290429-1
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According to our database, Fay Matthews NPI is 1083988406, taxonomy code is 164W00000X and license number is 290429-1, license state is located at New York. Fay Matthews physically located at 23218 Merrick Blvd, Laurelton NY, 11413-2115. NPI Number Fay Matthews has the Individual type.

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1083988406 NPI number is provided on an as is basis without warranty of any kind. 1083988406 is maintained by the National Plan & Provider Enumeration System. The contents of Fay Matthews are for informational purposes only.