Individual
ESTER MATATOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6510 99TH ST APT 5E, REGO PARK, NY 11374-3536
(646) 301-2810
Mailing address
6510 99TH ST APT 5E, REGO PARK, NY 11374-3536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022497
OT LICENSE
NY
Enumeration date
04/23/2018
Last updated
04/23/2018
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