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Individual

DR. BEENA MATHAI-JOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
OPTUM HUNTINGTON PEDIATRICS, 205 EAST MAIN STREET, STE 2-8, HUNTINGTON, NY 11743-1101
(631) 424-1741
Mailing address
OPTUM HUNTINGTON PEDIATRICS, 205 EAST MAIN STREET, STE 2-8, HUNTINGTON, NY 11743
(631) 424-1741

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
231985
NY

Other

Enumeration date
02/06/2007
Last updated
09/05/2024
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