Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matilda Ahedor

Individual provider Licensed Practical Nurse · NPI 1154293645

Matilda Ahedor is a Licensed Practical Nurse in Coram, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

48 Community Dr
Coram, NY 11727-2721
Phone: (631) 336-3958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 354085 (NY)

Record details

NPI number1154293645
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address48 Community Dr, Coram, NY 11727-2721

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