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Individual
MYRNA MATTAR
Active
Individual
MYRNA MATTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F335366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F335366
NY STATE NP LICENSE
NY
Enumeration date
04/14/2008
Last updated
11/07/2025
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