Individual
GULYA MATAYEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-2005
Mailing address
1118 AVENUE K APT 3H, BROOKLYN, NY 11230-4152
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011761
NY
Other
Enumeration date
05/01/2007
Last updated
09/19/2023
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