Individual
DR. ALEX SOLOMON MATATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
159-10 71ST AVE., #8A, FRESH MEADOWS, NY 11365-3020
(646) 797-7491
Mailing address
15910 71ST AVE, #8A, FRESH MEADOWS, NY 11365-3020
(646) 797-7491
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060186
NY
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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