Individual
DANIEL MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2636 STATE ROUTE 32, NEW WINDSOR, NY 12553-8347
(845) 562-5292
Mailing address
2636 STATE ROUTE 32, NEW WINDSOR, NY 12553-8347
(845) 562-5292
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
061660-1
NY
183500000X
Pharmacist
Primary
RP364458
PA
Other
Enumeration date
09/27/2016
Last updated
11/30/2020
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