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Organization
HILLSIDE INTERNAL MEDICINE
Active
Organization
HILLSIDE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MATHEW M.D. (PHYSICIAN/OWNER)
(718) 343-7601
Entity
Organization
Contact information
Practice address
250-12B HILLSIDE AVENUE, BELLEROSE, NY 11426
(718) 343-7601
Mailing address
250-12B HILLSIDE AVENUE, BELLEROSE, NY 11426
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02353368
—
NY
Enumeration date
07/12/2007
Last updated
09/12/2007
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