Individual
MRS. CATHERINE MATTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 NORMAN DR, BOHEMIA, NY 11716-1321
(631) 567-4713
Mailing address
31 NORMAN DR, BOHEMIA, NY 11716-1321
(631) 567-4713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
368950-1
NY
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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