Individual provider · Type 1 NPI

Khana Matatova

Specialist · Rego Park, NY

NPI number 1356765143 Active

Practice location

9825 65th Rd Apt 1E
Rego Park, NY 11374-3509

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X2596611 (NY)
Specialist Primary 174400000X2596611 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1356765143

Khana Matatova's National Provider Identifier is 1356765143, issued on Feb 13, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on May 11, 2018.