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1770868218
MICHELLE MATTEO
STATEN ISLAND, NY
NPI
1770868218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 015159)
Enumeration Date
2011-10-17
Last Update Date
2011-10-17
Business Address
-- MICHELLE MATTEO
614 MAIN ST
STATEN ISLAND, NY 10307-1730
Phone number: 718-809-3826
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Mailing Address
-- MICHELLE MATTEO
614 MAIN ST
STATEN ISLAND, NY 10307-1730
Phone number:
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