Most Relevant Information
Provider Data
| NPI Number: | 1003282930 |
| Provider Name: | MATTHEW MACINA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 039145 |
Most Important Dates
| Enumeration Date: | 08/14/2015 |
| Last Updated: | 08/14/2015 |
Provider Practice Location
132 W 96TH ST
SUITE 1A
NEW YORK
NY
100256418
Practice Location Phone/Fax
| Phone: | 2122492758 |
| Fax: | 2122492506 |
Provider Mailing Location
2142 UTOPIA PKWY
WHITESTONE
NY
113574142
Provider Mailing Phone/Fax
| Phone: | 7188196800 |
| Fax: | 3478419109 |