Individual provider · Type 1 NPI

Jacqueline Diane Matias

Specialist · Melville, NY

NPI number 1174921951 Active

Practice location

538 Broadhollow Rd Ste 202
Melville, NY 11747-3668

Call (631) 385-7780 Map

Mailing address

15 Soundview Dr
Shoreham, NY 11786-1101

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174921951

Jacqueline Diane Matias's National Provider Identifier is 1174921951, issued on Dec 10, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melville, NY. The record was last updated on Dec 10, 2014.