Individual
JENNIFER MATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
425 W 59TH ST STE 7B, NEW YORK, NY 10019-8022
(212) 523-8041
Mailing address
425 W 59TH ST STE 7B, NEW YORK, NY 10019-8022
(212) 523-8041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014748
NY
363AS0400X
Surgical Physician Assistant
Primary
014748
NY
Other
Enumeration date
10/30/2012
Last updated
12/31/2012
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