Matz, Kimberly Elizabeth

Matz, Kimberly Elizabeth is an individual health care provider with primary practice located at 26 Kastal Dr , Ridge NY 11961-1932. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Matz, Kimberly Elizabeth can be contacted via phone (631) 901-8121.

Contact Information

Primary practice address
26 Kastal Dr Ridge NY 11961-1932
Phone: (631) 901-8121
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 674480-1 New York

Profile Details

NPI number 1356770325
LBN Legal business name Matz, Kimberly Elizabeth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2013
Last updated Nov 11th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356770325 NPPES
New York MEDICAID 674480-1

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