National Provider Identifier
Molleen M Dematteo, RN
Molleen M Dematteo, RN is listed in the NPPES registry with a primary specialty of School Registered Nurse in Ithaca, NY and a listed phone number of (607) 273-9015.
Profile Overview
- NPI
- 1740539600
- Provider Type
- Individual
- Primary Specialty
- School Registered Nurse
- Enumeration Date
- September 06, 2012
- Last Updated
- September 06, 2012
Practice Location
- 214 Elmira RD
- Ithaca, NY 14850-5302
Phone: (607) 273-9015
Mailing Address
- 101 Cedar Ln
- Groton, NY 13073-1311
Specialties
- School Registered Nurse (163WS0200X)
Full Record
- NPI
- 1740539600
- Entity Type
- Individual
- Last Name
- Dematteo
- First Name
- Molleen
- Middle Name
- M
- Credential
- RN
- Mailing Street Address
- 101 Cedar Ln
- Mailing City
- Groton
- Mailing State
- NY
- Mailing ZIP Code
- 13073-1311
- Mailing Country
- US
- Mailing Phone
- (607) 898-4703
- Practice Street Address
- 214 Elmira RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5302
- Practice Country
- US
- Practice Phone
- (607) 273-9015
- Enumeration Date
- September 06, 2012
- Last Updated
- September 06, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Registered Nurse (163WS0200X)