Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARINA MATATOVA, D.O.
Active Sole ProprietorMARINA MATATOVA, D.O. is a Dermatology healthcare provider located in ELMHURST, New York. NPI 1881977304 is currently active in the NPPES registry. Verify at CMS.
Dermatology · ELMHURST, NY
Registration Details
- NPI Number
- 1881977304
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2011 (14.924677170229 yrs)
- Last Updated
- Nov 10, 2020
- Licenses
-
259160 (NY)259160 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4037 74TH STELMHURST, NY, 113735603Browse NY providers · Browse ZIP 11373
- Phone
- 7186517000
- Fax
- 7186068966
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in ELMHURST, NY
| Name | Credential | NPI |
|---|---|---|
| HUACHEN WEI | MD | 1235167313 |
| DR. CHARLES C KWAK | MD | 1548270218 |
| DR. MARTIN WININGER | M.D. | 1306997648 |
| MICHAEL EZRA BERRY | MD | 1962692152 |
| MARIE CLAIRE LEGER | MD | 1144483843 |
| DR. JULIA WU | MD | 1598057234 |
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.