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Organization
MATRIX MEDICAL NETWORK
Active
Organization
MATRIX MEDICAL NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM DEMETRIUS CUMMINGS-WILLIAMS REGISTERED NURSE (CLINICAL NURSE SPECIALIST)
(917) 749-7946
Entity
Organization
Contact information
Practice address
21811 120TH AVE, CAMBRIA HEIGHTS, NY 11411-2030
(917) 749-7946
Mailing address
9201 E MOUNTAIN VIEW RD, SCOTTSDALE, AZ 85258-5199
(917) 749-7946
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
410426
NY
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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