Individual
JAINE E MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
30 KLINT CT, NANUET, NY 10954-5940
(845) 558-6886
Mailing address
30 KLINT CT, NANUET, NY 10954-5940
(845) 558-6886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055189-1
NY
122300000X
Dentist
22DI02478600
NJ
Other
Enumeration date
08/23/2010
Last updated
02/06/2026
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