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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENNADIY MATATOV, PHARM. D.

Active

GENNADIY MATATOV, PHARM. D. is a Pharmacist healthcare provider located in BRONX, New York. NPI 1295057552 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · BRONX, NY

Registration Details

NPI Number
1295057552
Provider Type
Individual
Gender
Male
NPI Issued
Feb 26, 2010 (16.45070452972 yrs)
Last Updated
Feb 26, 2010
License
048673 (NY)

Practice Information

Address
781 LYDIG AVE
BRONX, NY, 104622144
Browse NY providers · Browse ZIP 10462
Phone
7188221348
Fax
7188221792
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in BRONX, NY

Name Credential NPI
MR. BIPIN R SHETH RPH 1043202336
MR. SRINIVASA R KOLLI PHARMACIST 1851385777
MR. RAYMOND MACIOCI RPH 1477540029
MR. RODOLFO DELLORUSSO RPH 1427045079
MRS. MADALENE BUONAIUTO RPH 1053308619
MRS. TIFFANY MARIE LUCAS RPH 1588654362
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.