Individual
IRMA M MATOS-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3175 23RD ST, ASTORIA, NY 11106-4134
(718) 956-2200
(718) 956-2316
Mailing address
55 WATER STREET, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
149373
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01722825
—
NY
Enumeration date
06/07/2006
Last updated
09/20/2019
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