NPI 1295999399

Lev Y Matatov, CFOBOCOCOTA

Practitioner Orthotist Fresh Meadows, NY

Practice location

Address: 7721 166th St, Fresh Meadows, NY 11366-1232
Phone: (646) 267-2409
Fax: (516) 213-2732

Registered specialties (3)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Specialist

Other Service Providers Taxonomy 174400000X

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Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 004659 (NY)

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Registry record

NPI: 1295999399
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2008
Record last updated: 13 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.