Individual
ALISHA MATTONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR # 9TOWER, MANHASSET, NY 11030-3816
(516) 562-0100
Mailing address
300 COMMUNITY DR # 9TOWER, MANHASSET, NY 11030-3816
(516) 562-0100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431375
NY
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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