Individual
CHRISTINA MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(888) 702-0630
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306636
NY
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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