Individual provider · Type 1 NPI

Kristie Matos

Addiction (Substance Use Disorder) Registered Nurse · Bronx, NY

NPI number 1417459546 Active

Practice location

2778 3rd Ave
Bronx, NY 10455-4029

Call (718) 402-9000 Map

Mailing address

3225 Decatur Ave Apt 2
Bronx, NY 10467-4258

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X738069 (NY)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1417459546

Kristie Matos's National Provider Identifier is 1417459546, issued on Mar 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Bronx, NY. The record was last updated on Mar 5, 2018.