Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 051987 | CT |
Y | 2080P0210X | Pediatric Nephrologist | 255787 | NY |
NPI | 1710138185 |
---|---|
Provider Name | Dr. Robyn Matloff |
First Address | Hawthorne, NY 10532-2134 |
Second Address | Hawthorne, NY 10532-2134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2008 |
Last Update Date | 09/07/2015 |