Matatova, Marina

Matatova, Marina is an sole proprietor health care provider with primary practice located at 4037 74Th St , Elmhurst NY 11373-5603. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Matatova, Marina can be contacted via phone (718) 651-7000.

Contact Information

Primary practice address
4037 74Th St Elmhurst NY 11373-5603
Phone: (718) 651-7000
Fax: (718) 606-8966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 259160 New York
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 259160 New York

Profile Details

NPI number 1881977304
LBN Legal business name Matatova, Marina
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2011
Last updated Nov 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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