Individual
VALERIY A MATATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7206 7TH AVE, BROOKLYN, NY 11209-2617
(718) 745-1200
(718) 836-5128
Mailing address
7206 7TH AVE, BROOKLYN, NY 11209-2617
(718) 745-1200
(718) 836-5128
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
222002-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02528641
—
NY
Enumeration date
05/27/2006
Last updated
07/11/2018
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