Amanda Emily Matises
Occupational Therapist - Pediatrics
669 Broadway
Massapequa
, New York 11758-2314
Amanda Emily Matises
Occupational Therapist - Pediatrics
669 Broadway
Massapequa
, New York 11758-2314
(631) 569-9337
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Amanda Emily Matises
- 8 Eastbourne Cres
- East Patchogue, NY
- Zip : 11772-4838
- Phone : (631) 569-9337
Second Address
- Amanda Emily Matises
- 669 Broadway
- Massapequa, NY
- Zip : 11758-2314
- Phone : (516) 799-2900
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics |
National Provider Identifier
| NPI | 1033732060 |
|---|---|
| Provider Name | Amanda Emily Matises |
| First Address | East Patchogue, NY 11772-4838 |
| Second Address | Massapequa, NY 11758-2314 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2020 |
| Last Update Date | 26/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 024614 | NYS OT LICENCE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.