Individual
FARZANA MATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149 STREET, 8-20, BRONX, NY 10451
(718) 579-5874
(718) 579-4836
Mailing address
35-50, 75 TH STREET APT-1D, JACKSON HEIGHTS, NY 11372
(917) 405-1517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
258280
NY
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
04/29/2009
Last updated
08/01/2017
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