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1013980606
AMY MATTIELLI
STATEN ISLAND, NY
NPI
1013980606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 006636)
Enumeration Date
2006-02-13
Last Update Date
2007-07-08
Business Address
Mrs. AMY MATTIELLI P.A.-C.
2454 HYLAN BOULEVARD
STATEN ISLAND, NY 10306
Phone number: 718-233-1300
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Mailing Address
Mrs. AMY MATTIELLI P.A.-C.
124 CINDY ST
OLD BRIDGE, NJ 08857-3023
Phone number: 732-679-1248
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