Individual
BERNADINE MATHIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 35TH AVE APT 107W, JACKSON HEIGHTS, NY 11372-8105
(718) 672-1538
Mailing address
21242 94TH AVE, APT 1, QUEENS VILLAGE, NY 11428-1637
(516) 808-7258
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097171-1
NY
Other
Enumeration date
06/14/2016
Last updated
06/15/2016
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