Individual
ELIANET J MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
517 W 181ST ST # B, NEW YORK, NY 10033-5102
(347) 808-2615
(347) 808-2716
Mailing address
517 W 181ST ST # B, NEW YORK, NY 10033-5102
(347) 898-2615
(347) 808-2716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706420
NY
363LF0000X
Family Nurse Practitioner
Primary
F35116901
NY
Other
Enumeration date
12/14/2015
Last updated
04/21/2023
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