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Mildred Mata
NPI 1942699707 · on the registry since 2015
Practice
- Address
- 363 W 17th St
Apt. #3a
New York, NY 10011 - Phone
- (347) 543-1339
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York