Mattei, Elisa M

Mattei, Elisa M is an individual health care provider with primary practice located at 3771 Nesconset Hwy Ste 107 , South Setauket NY 11720-1155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mattei, Elisa M can be contacted via phone (631) 881-4569.

Contact Information

Primary practice address
3771 Nesconset Hwy Ste 107 South Setauket NY 11720-1155
Phone: (631) 881-4569
Fax: (631) 944-8000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F403765-01 New York

Profile Details

NPI number 1336550359
LBN Legal business name Mattei, Elisa M
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2014
Last updated Jan 6th, 2026 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336550359 NPPES
New York MEDICAID F403765-01

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