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Organization
ELIZABETH MATHEW PHYSICIAN PC
Active
Organization
ELIZABETH MATHEW PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MATHEW M.D. (M.D.)
(718) 459-1660
Entity
Organization
Contact information
Practice address
23809 BRADDOCK AVE, BELLEROSE, NY 11426-1147
(718) 354-8300
Mailing address
23809 BRADDOCK AVE, BELLEROSE, NY 11426-1147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
249489-1
NY
Other
Enumeration date
08/27/2010
Last updated
06/20/2018
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