Individual
MATEO DANIEL SAENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 PINEVILLE RD, CENTRAL ISLIP, NY 11722-2311
(631) 582-4414
Mailing address
4 PINEVILLE RD, CENTRAL ISLIP, NY 11722-2311
(631) 582-4414
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
476319
NY
Other
Enumeration date
01/20/2021
Last updated
04/27/2021
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