Individual
ELLA MATATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9218 165TH ST, JAMAICA, NY 11433-1104
(718) 725-0044
Mailing address
14716 71ST AVE, FLUSHING, NY 11367-2009
(347) 238-8974
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003487
NY
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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