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Individual

MS. ELISA M MATTEI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
3771 NESCONSET HWY STE 107, SOUTH SETAUKET, NY 11720-1155
(631) 881-4569
(631) 944-8000
Mailing address
3771 NESCONSET HWY STE 107, SOUTH SETAUKET, NY 11720-1155
(631) 881-4569
(631) 944-8000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403765-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F403765-01
NY
Enumeration date
05/13/2014
Last updated
01/06/2026
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