Individual
SOLOMON MATATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10505 CROSSBAY BLVD, OZONE PARK, NY 11417-1514
(718) 366-8193
Mailing address
10505 CROSSBAY BLVD, OZONE PARK, NY 11417-1514
(718) 366-8193
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
455492408
NY
Other
Enumeration date
05/13/2013
Last updated
05/02/2018
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