Individual
ANNA MATKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-8058
Mailing address
404 WOODWARD AVE, RIDGEWOOD, NY 11385-1550
(718) 381-7008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024129-1
NY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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