Dimattei, Jaclyn Sara

Dimattei, Jaclyn Sara is an individual health care provider with primary practice located at 75 Landing Meadow Rd , Smithtown NY 11787-1124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dimattei, Jaclyn Sara can be contacted via phone (631) 360-4700.

Contact Information

Primary practice address
75 Landing Meadow Rd Smithtown NY 11787-1124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 308286 New York

Profile Details

NPI number 1093238222
LBN Legal business name Dimattei, Jaclyn Sara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Mar 17th, 2018 - about 8 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.

Request for update

Popular Providers