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1053953273
MARINA MATTA
STATEN ISLAND, NY
NPI
1053953273
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-10-09
Last Update Date
2020-05-12
Business Address
MARINA MATTA Physician Assistant
2627 HYLAN BLVD # A
STATEN ISLAND, NY 10306-4344
Phone number: 347-286-0741
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Mailing Address
MARINA MATTA Physician Assistant
2627 HYLAN BLVD # A
STATEN ISLAND, NY 10306-4344
Phone number: 347-286-0741
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