Individual
ANNY MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 W 171ST ST APT BASEMENT, NEW YORK, NY 10032-3309
(347) 324-4290
Mailing address
555 WEST 171 STREET APT BASEMENT, NEW YORK CITY, NY 10032
(347) 324-4290
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
01/26/2017
Last updated
01/27/2017
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