Individual
BRUNILDA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
MMC - HOUSE CALL PROGRAM, 117 EAST 210TH STREET, BRONX, NY 10467
(718) 405-7442
Mailing address
570 CITY ISLAND AVE, 2L, BRONX, NY 10464-1105
(718) 405-7742
(718) 367-2052
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
065499
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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