Individual
MATTHEW BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 E 4TH ST, NEW YORK, NY 10003
(212) 677-8850
Mailing address
96 E 4TH ST, NEW YORK, NY 10003-9001
(212) 677-8850
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005159
NY
Other
Enumeration date
05/20/2006
Last updated
07/10/2018
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