Mattutat, Teresa

Mattutat, Teresa is an individual health care provider with primary practice located at 770 Grand Blvd , Deer Park NY 11729-5750. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mattutat, Teresa can be contacted via phone (631) 392-4357.

Contact Information

Primary practice address
770 Grand Blvd Deer Park NY 11729-5750
Phone: (631) 392-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X New York

Profile Details

NPI number 1801636576
LBN Legal business name Mattutat, Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2024
Last updated May 29th, 2024 - about 2 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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