Individual
ARIELLE REGINA TOVA MATUSZEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 FANNING ST, STATEN ISLAND, NY 10314-5309
(718) 664-3402
Mailing address
259 FANNING ST, STATEN ISLAND, NY 10314-5309
(718) 664-3402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
071076
NY
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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