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Organization

MATRIX MEDICAL NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KIM DEMETRIUS CUMMINGS-WILLIAMS REGISTERED NURSE (CLINICAL NURSE SPECIALIST)
(917) 749-7946
Entity
Organization

Contact information

Practice address
21811 120TH AVE, CAMBRIA HEIGHTS, NY 11411-2030
(917) 749-7946
Mailing address
9201 E MOUNTAIN VIEW RD, SCOTTSDALE, AZ 85258-5199
(917) 749-7946

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
410426
NY

Other

Enumeration date
01/09/2012
Last updated
01/09/2012
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