Search › New York › 171M00000X
Jaclyn Matty
NPI 1215507231 · on the registry since 2021 · sole proprietor
Practice
- Address
- 750 Hicksville Rd
Seaford, NY 11783 - Phone
- (516) 520-6000
- Organisation at this address
- Hagedorn Little Village School
The Hagedorn Little Village SchoolInferred from a shared address, not stated in the registry. - Clinicians at this address
- 213
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York