MRS. Raisa Matayev, PA
NPI #1134211873 in Fresh Meadows, New York
Provider Information
- NPI Number
- 1134211873
- Entity Type
- Individual
- Name
- MRS. Raisa Matayev, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Sep 29, 2006
- Last Updated
- Aug 4, 2009
Practice Location
- Address
- 176-60 UNION TURNPIKE
- Address 2
- SUITE 360
- City
- Fresh Meadows
- State
- New York
- ZIP Code
- 11366
- Phone
- (718) 460-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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