Mattis, Daiva

Mattis, Daiva is an individual health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Mattis, Daiva can be contacted via phone (510) 872-2029.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (510) 872-2029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 103343 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 103343 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 036.153139 Illinois

Profile Details

NPI number 1598151136
LBN Legal business name Mattis, Daiva
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Feb 26th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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