Ms. Darlene Ann Matesic
Occupational Therapist - Pediatrics
109 Leonard St
Lackawanna
, New York 14218-2032
Ms. Darlene Ann Matesic
Occupational Therapist - Pediatrics
109 Leonard St
Lackawanna
, New York 14218-2032
(716) 697-0364
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Darlene Ann Matesic
- 109 Leonard St
- Lackawanna, NY
- Zip : 14218-2032
- Phone : (716) 697-0364
Second Address
- Ms. Darlene Ann Matesic
- 109 Leonard St
- Lackawanna, NY
- Zip : 14218-2032
- Phone : (716) 697-0364
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 6583254 | NY |
National Provider Identifier
| NPI | 1013164797 |
|---|---|
| Provider Name | Ms. Darlene Ann Matesic |
| First Address | Lackawanna, NY 14218-2032 |
| Second Address | Lackawanna, NY 14218-2032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2008 |
| Last Update Date | 13/05/2011 |
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.