# MATRIX MEDICAL NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427328392
- **Authorized official:** MRS. KIM DEMETRIUS CUMMINGS-WILLIAMS REGISTERED NURSE (CLINICAL NURSE SPECIALIST)
- **Authorized official phone:** (917) 749-7946

## Contact information

- **Practice address:** 21811 120TH AVE, CAMBRIA HEIGHTS, NY 11411-2030
- **Practice address phone:** (917) 749-7946
- **Mailing address:** 9201 E MOUNTAIN VIEW RD, SCOTTSDALE, AZ 85258-5199
- **Mailing address phone:** (917) 749-7946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 410426 | NY | Yes |

## Other

- **Enumeration date:** 01/09/2012
- **Last updated:** 01/09/2012