Elisa Matteson
NPI #1841482742 in Wading River, New York
Provider Information
- NPI Number
- 1841482742
- Entity Type
- Individual
- Name
- Elisa Matteson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Aug 14, 2007
- Last Updated
- Aug 14, 2007
Practice Location
- Address
- 220 SOUND RD
- City
- Wading River
- State
- New York
- ZIP Code
- 11792-1045
- Phone
- (631) 929-1303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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