Individual
EILEEN FRANCES MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
505 E 70TH ST, FIFTH FLOOR RESIDENT GROUP PRACTICE, NEW YORK, NY 10021-4872
(212) 746-0516
Mailing address
436 E 69TH ST, 12K, NEW YORK, NY 10021-5643
(212) 746-0516
(212) 746-8458
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
73-024948
NY
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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