Individual
MRS. SUSAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2015 LINDEN BOULEVARD, ELMONT, NY 11003
(516) 285-2850
(516) 285-0038
Mailing address
80-08 170TH ST, JAMAICA, NY 11432
(718) 380-2741
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3334651
NY
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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