Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert Miguel Matos

Individual provider Specialist · NPI 1225462906

Robert Miguel Matos is a Specialist in Queens Village, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

21725 Hempstead Ave
Queens Village, NY 11429-1225
Phone: (917) 399-9846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X
Specialist Taxonomy 174400000X · Licence 641090 (NY)

Record details

NPI number1225462906
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2013
Last updated in NPPESOctober 16, 2014

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