Individual
MRS. KRISTIE MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2778 3RD AVE, BRONX, NY 10455-4029
(718) 402-9000
Mailing address
3225 DECATUR AVE APT 2, BRONX, NY 10467-4258
(646) 751-9856
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
738069
NY
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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