MR. RICHARD MATATOV FNP
NPI 1730909961
Nurse Practitioner - Family in Astoria, NY
Active since October 14, 2024
About Mr. Richard Matatov Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RICHARD MATATOV FNP (NPI 1730909961) is an individual family provider in Astoria, New York, licensed in New York (F355218-01) and active in the NPI registry since October 2024.
NPPES Registry Identity
NPI1730909961
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. RICHARD MATATOVCredential: FNP
Location Address3446 VERNON BLVD APT E316Astoria, NY 11106-5404
Mailing Address3446 Vernon Blvd Apt E316Astoria, NY 11106-5404
Phone(646) 403-0619
Sole ProprietorYes
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 13, 2024
✔ NPI 1730909961 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F355218-01
3446 VERNON BLVD APT E316, Astoria, NY 11106
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730909961, enumerated as an "individual" on October 14, 2024.
The provider is located at 3446 VERNON BLVD APT E316 ASTORIA, NY 11106 and the phone number is (646) 403-0619.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
