Individual
MRS. SIMONA MATTARELLIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
948 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-7500
Mailing address
948 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-7500
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F382327
NY
Other
Enumeration date
07/23/2013
Last updated
12/03/2014
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