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Individual

DAISY MATHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-3273
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
(845) 362-3237

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304469-1
NY

Other

Enumeration date
03/08/2011
Last updated
06/04/2015
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