National Provider Identifier Database

JACLYN S DIMATTEI, NP – NPI #1093238222
Adult Health


Contact Information

JACLYN S DIMATTEI, NP
75 LANDING MEADOW RD
SMITHTOWN, NY11787-1124
Phone: 631-360-4700
Fax:
Website:
Specialty Taxonomy Code
* Adult Health 363LA2200X

* Indicates primary specialty

NPI Profile & details for JACLYN S DIMATTEI

NPI Number 1093238222
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/19/2017
Last updated 03/17/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 308286
Hospital affiliation n/a

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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