Organization
MARINA MATATOVA DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY SANCHEZ (OFFICE MANAGER)
(347) 642-9802
Entity
Organization
Contact information
Practice address
391 STANHOPE ST, BROOKLYN, NY 11237-4404
(718) 366-1747
(718) 606-8966
Mailing address
4037 74TH ST, ELMHURST, NY 11373-5603
(718) 651-7000
(718) 606-8966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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