Individual
NIJA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4585
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-4585
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
60 250772
NY
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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