Individual
DR. ELYANA MATAYEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
34 MAPLE STREET, PULMONARY, NORWALK, CT 06856
(718) 441-4047
Mailing address
34 MAPLE STREET, PULMONARY, NORWALK, CT 06856
(718) 441-4047
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
63956
CT
207RP1001X
Pulmonary Disease Physician
Primary
63956
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/05/2012
Last updated
08/26/2019
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