Individual
ALEKSANDR I MATAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6260 99TH ST APT 507, REGO PARK, NY 11374-6017
(917) 929-3040
Mailing address
6260 99TH ST APT 507, REGO PARK, NY 11374-6017
(917) 929-3040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
028062
NY
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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