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Individual

PAUL J MATTIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
(516) 562-3054
(516) 562-2830
Mailing address
972 BRUSH HOLLOW RD, 4TH FLOOR, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01708781
NY
Enumeration date
02/06/2007
Last updated
10/23/2019
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