Individual
BETHZAYDA MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W 50TH ST, NEW YORK, NY 10020-1201
(212) 582-9100
Mailing address
135 W 50TH ST, NEW YORK, NY 10020-1201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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