Patricia A Mattingly in Ithaca - Pediatrics
Patricia A Mattingly - NPI 1760464325
Patricia A Mattingly is a Pediatrics in Ithaca, New York. Patricia A Mattingly practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Patricia A Mattingly is 1760464325. The last update date is 2007-07-08.
Patricia A Mattingly's current location address is 10 Graham Rd W, Ithaca, New York. You can contact this provider via phone number 6072572188 and fax number 6072667341. The mailing address for Patricia A Mattingly is 10 Graham Rd W, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patricia A Mattingly |
|---|---|
| Address | 10 Graham Rd W, Ithaca, New York |
| Phone Number | 6072572188 |
| Fax Number | 6072667341 |
| Sole Proprietor | X |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1760464325 |
|---|---|
| Provider Enumeration Date | 2005-11-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10 Graham Rd W |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148501055 |
| Phone Number | 6072572188 |
| Fax Number | 6072667341 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | F380603 1 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1518285 | NY | -- | |
| 919177001 | HEALTH NOW |
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What is the Patricia A Mattingly's unique identification number?
The Patricia A Mattingly has been assigned the NPI (National Provider Identifier) Number 1760464325 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
What is the Patricia A Mattingly's area of specialization and corresponding taxonomy classification?
The Patricia A Mattingly's specialty field is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their specialties.
What is Patricia A Mattingly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Patricia A Mattingly is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
When did the Patricia A Mattingly receive its 1760464325?
The Patricia A Mattingly was issued its 1760464325 on 2005-11-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Patricia A Mattingly's details last updated?
The information pertaining to the Patricia A Mattingly, including its address, specialty, and other details, was most recently updated on 2007-07-08.