Individual
VIOLET MATOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
241 FRONT ST, BROOKLYN, NY 11201-1217
(718) 222-9998
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
085301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01130905
—
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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