Individual
MS. DANNETTE CAROL MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-7545
Mailing address
596 JEFFERSON AVE, BROOKLYN, NY 11221-1608
(718) 574-3714
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F-308238-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F-308238-1
NP
NY
Enumeration date
09/15/2017
Last updated
09/15/2017
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