Individual
RIGINA MATATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9941 64TH AVE APT A3, REGO PARK, NY 11374-2667
(917) 361-9333
Mailing address
9941 64TH AVE APT A3, REGO PARK, NY 11374-2667
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F309536-01
NY
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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