Organization
DANIEL D. MATHEWS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DEFAZIO MATHEWS D.P.M (PRESIDENT)
(718) 205-6201
Entity
Organization
Contact information
Practice address
4035 95TH ST, LOWER LEVEL, ELMHURST, NY 11373-6200
(718) 205-6201
(718) 205-5664
Mailing address
4035 95TH ST, LOWER LEVEL, ELMHURST, NY 11373-6200
(718) 205-6201
(718) 205-5664
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
004379
NY
Other
Enumeration date
04/02/2007
Last updated
11/30/2010
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