Individual
TASNIM MATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
3053 69TH ST FL 2, WOODSIDE, NY 11377-1231
(646) 384-0578
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P112843
NY
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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