Individual
EWA M MATCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
134 CONTINENETAL AVENUE, FOREST HILLS, NY 11375
(917) 797-2919
Mailing address
134 CONTINENETAL AVENUE, FOREST HILLS, NY 11375
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
198996-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198996-1
NYS LIC
NY
Enumeration date
06/26/2009
Last updated
03/07/2023
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