GENNADIY MATATOV

BRONX, NY
NPI1295057552
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  048673)
Enumeration Date2010-02-26
Last Update Date2010-02-26
Business Address
-- GENNADIY MATATOV PHARM. D.
781 LYDIG AVE
BRONX, NY 10462-2144
Phone number: 718-822-1348
Mailing Address
-- GENNADIY MATATOV PHARM. D.
13957 PERSHING CRES PH
BRIARWOOD, NY 11435-1944
Phone number:
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