Organization
DIANA MATTA DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MATTA (DPM)
(845) 590-3408
Entity
Organization
Contact information
Practice address
1957 WILLIAMSBRIDGE RD, BRONX, NY 10461-1604
(845) 590-3408
Mailing address
PO BOX 277, SPRING VALLEY, NY 10977-0277
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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