Individual
DEBORAH MATTELIANO
Active
Individual
DEBORAH MATTELIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3337891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026523301
UNIVERA
—
01
—
000560744001
BLUE CROSS BLUE SHIELD
—
01
—
7599686
GHI
—
01
—
9512251
INDEPENDENT HEALTH
—
Enumeration date
05/15/2006
Last updated
09/26/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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