Individual
MATEUS DE OLIVEIRA TAVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-5778
Mailing address
1233 YORK AVE APT 14I, NEW YORK, NY 10065-6342
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P121147
NY
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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