Individual
DR. ANISH PHILIP MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT (NEURO), DPT
Contact information
Practice address
1605 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2603
(516) 616-0942
(516) 616-0943
Mailing address
55 7TH ST, NEW HYDE PARK, NY 11040-4132
(516) 385-5685
(516) 616-0943
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
028328
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111562
GHI HMO
NY
01
—
11609369
CAQH
NY
01
—
700400
ACN GROUP
NY
01
—
XC8401
HEALTHNET
NY
Enumeration date
07/19/2006
Last updated
03/07/2012
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