Individual
ALEXA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 8TH AVE FL 2, NEW YORK, NY 10018-4332
(212) 787-9700
Mailing address
1728 HOBART AVE PH, BRONX, NY 10461-4908
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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