O'Neil, Matthew Gerard
O'Neil, Matthew Gerard is an individual health care provider with primary practice located at 2388 Route 9 Suite 102, Mechanicville NY 12118-3024. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. O'Neil, Matthew Gerard can be contacted via phone (518) 899-1140.Contact Information
Primary practice address
2388 Route 9 Suite 102
Mechanicville NY 12118-3024
Phone: (518) 899-1140
Fax: (518) 899-1139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 011078 | New York |
Profile Details
| NPI number | 1508835760 |
|---|---|
| LBN Legal business name | O'Neil, Matthew Gerard |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Feb 24th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508835760 | NPPES |
| New York | Other | 10006257 | CDPHP |
| New York | MEDICAID | 01699912 | CDPHP |
| New York | Other | 43126 | CDPHP |
| New York | Other | 00492393002 | CDPHP |
| New York | Other | MOOQ715410 | CDPHP |
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