Gina M Matos-karl CASAC

NPI 1386896538 - Counselor - 101YA0400X

NPI Details
NPI 1386896538
Gender Female
Enumeration Date 10/21/2008
Last Updated 10/21/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
998 CROOKED HILL RD
BRENTWOOD NY, 11717-1019, US
Phone (631) 306-5714
Fax
Business Location
260 CORONADO ST
ISLIP TERRACE NY, 11752-1712, US
Phone (631) 650-7022
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State New York
License Number 10786
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According to our database, Gina M Matos-karl CASAC NPI is 1386896538, taxonomy code is 101YA0400X and license number is 10786, license state is located at New York. Gina M Matos-karl CASAC physically located at 998 Crooked Hill Rd, Brentwood NY, 11717-1019. NPI Number Gina M Matos-karl CASAC has the Individual type.

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1386896538 NPI number is provided on an as is basis without warranty of any kind. 1386896538 is maintained by the National Plan & Provider Enumeration System. The contents of Gina M Matos-karl CASAC are for informational purposes only.