Healthcare Provider Details

I. General information

NPI: 1538070875
Provider Name (Legal Business Name): MATTMAR CONSULTING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2422 MATTHEWS AVE
BRONX NY
10467-9212
US

IV. Provider business mailing address

116 EAST 125TH STREET NEW YORK
NEW YORK NY
10035-1612
US

V. Phone/Fax

Practice location:
  • Phone: 646-267-5843
  • Fax:
Mailing address:
  • Phone: 646-267-5843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: FAITH OSIME
Title or Position: OWNER
Credential: MD
Phone: 646-267-5843