Individual
FEBAH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 HEMPSTEAD TPKE, HEMPSTEAD, NY 11549-0001
(516) 463-4074
Mailing address
113 HEMPSTEAD TPKE, HEMPSTEAD, NY 11549-0001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/23/2021
Last updated
05/03/2023
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