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1417459546
KRISTIE MATOS
BRONX, NY
NPI
1417459546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: NY 738069)
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
Mrs. KRISTIE MATOS
2778 3RD AVE
BRONX, NY 10455-4029
Phone number: 718-402-9000
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Mailing Address
Mrs. KRISTIE MATOS
3225 DECATUR AVE APT 2
BRONX, NY 10467-4258
Phone number: 646-751-9856
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