Individual
DANIELLE MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6 PINOAK LN, HAUPPAUGE, NY 11788-1051
(631) 672-0476
Mailing address
69 HOWE RD, CORAM, NY 11727-1830
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335150
NY
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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