Matos-Rivera, Irma M
Matos-Rivera, Irma M is an individual health care provider with primary practice located at 3175 23Rd St , Astoria NY 11106-4134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Matos-Rivera, Irma M can be contacted via phone (718) 956-2200.Contact Information
Primary practice address
3175 23Rd St
Astoria NY 11106-4134
Phone: (718) 956-2200
Fax: (718) 956-2316
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 149373 | New York |
Profile Details
| NPI number | 1407896590 |
|---|---|
| LBN Legal business name | Matos-Rivera, Irma M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Sep 20th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407896590 | NPPES |
| New York | MEDICAID | 01722825 |
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