Individual
LISA G MATTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33 NATICK ST, STATEN ISLAND, NY 10306-1616
(718) 552-5099
(718) 983-6136
Mailing address
33 NATICK ST, STATEN ISLAND, NY 10306-1616
(718) 552-5099
(718) 983-6136
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
552741
NY
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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