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Contact Information

MATILDA AHEDOR
48 COMMUNITY DR
CORAM, NY11727-2721
 Phone: 631-336-3958
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MATILDA AHEDOR · (Female)

NPI Number 1154293645
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2025
Last updated 09/23/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 354085
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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