Individual
TERRY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8916 175TH ST STE CF3, JAMAICA, NY 11432-5557
(718) 487-3109
(718) 487-3081
Mailing address
40 HERB HILL RD APT F, GLEN COVE, NY 11542-2833
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
296497
NY
Other
Enumeration date
06/24/2015
Last updated
01/23/2020
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