Matari, Diana

Matari, Diana is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Matari, Diana can be contacted via phone (631) 473-1320.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 022827 New York

Profile Details

NPI number 1477029585
LBN Legal business name Matari, Diana
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2018
Last updated Oct 16th, 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.

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