Individual provider · Type 1 NPI

Gloria Mattison

Student in an Organized Health Care Education/Training Program · Far Rockaway, NY

NPI number 1770134165 Active

Practice location

507 Beach 64th St
Far Rockaway, NY 11692-1326

Call (718) 559-0516 Map

Mailing address

14202 20th Ave
Flushing, NY 11351-3000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770134165

Gloria Mattison's National Provider Identifier is 1770134165, issued on Sep 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Far Rockaway, NY. The record was last updated on Sep 26, 2019.