JORGENA MATO NP
NPI 1104602770
Nurse Practitioner - Family in Glendale, NY
Active since September 07, 2023
About Jorgena Mato Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORGENA MATO NP (NPI 1104602770) is an individual family provider in Glendale, New York, licensed in New York (346698) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1104602770
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJORGENA MATOCredential: NP
Location Address7141 66TH PLGlendale, NY 11385-7047
Mailing Address7141 66th PlGlendale, NY 11385-7047 · (646) 823-8144
Phone(646) 823-8144
Sole ProprietorYes
Enumeration DateSeptember 7, 2023
NPPES CertifiedSeptember 7, 2023
✔ NPI 1104602770 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 346698
7141 66TH PL, Glendale, NY 11385
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104602770, enumerated as an "individual" on September 07, 2023.
The provider is located at 7141 66TH PL GLENDALE, NY 11385 and the phone number is (646) 823-8144.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
