Individual
MS. JACLYN PAIGE MATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(516) 520-6000
Mailing address
60 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3653
(165) 227-8638
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
174400000X
Specialist
—
NY
Other
Enumeration date
06/30/2021
Last updated
08/03/2022
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