Individual
DR. BRENT MATZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 W 23RD ST, NEW YORK, NY 10011-2300
(212) 897-1994
Mailing address
309 5TH AVE APT 35C, NEW YORK, NY 10016-6555
(203) 671-0056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
286944
NY
Other
Enumeration date
04/14/2010
Last updated
11/13/2018
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