Individual
MS. GYPSY MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WESTCHESTER SQ, BRONX, NY 10461-3525
(718) 931-4045
Mailing address
425 E 105TH ST APT 10B, NEW YORK, NY 10029-5158
(646) 261-0402
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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