Individual
MRS. ANN WOODSTOCK-MATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
643 E 232ND ST, APT 1B, BRONX, NY 10466-2948
(917) 912-8577
Mailing address
643 E 232ND ST, APT 1B, BRONX, NY 10466-2948
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
506761
NY
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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