Individual
DR. MERLYN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
290 CENTRAL AVE STE 202, LAWRENCE, NY 11559-8507
(516) 371-0517
Mailing address
290 CENTRAL AVE STE 202, LAWRENCE, NY 11559-8507
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
309674-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FR97383U
—
NY
Enumeration date
05/03/2016
Last updated
11/04/2022
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