Individual
DOREEN ANN MATTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
174 LOWELL RD, SAYVILLE, NY 11782-2215
(631) 750-3617
Mailing address
174 LOWELL RD, SAYVILLE, NY 11782
(631) 750-3617
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NY
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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