Individual
ADY JOSEFINA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 LECOUNT PL, NEW ROCHELLE, NY 10801-6416
(914) 613-0700
Mailing address
261 COLONY ST, FAIRFIELD, CT 06824-5204
(718) 536-8620
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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