Individual
MARINA MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 STATION PLZ N STE 509, MINEOLA, NY 11501-3893
(516) 663-8794
Mailing address
44 MANCHESTER CT APT A, FREEHOLD, NJ 07728-3227
(917) 697-5854
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
325197
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2020
Last updated
09/19/2023
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