Individual
DENA MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 LAKEVILLE RD STE 212, NEW HYDE PARK, NY 11042-1122
(516) 470-4050
Mailing address
304 BRYN MAWR RD, NEW HYDE PARK, NY 11040-3509
(516) 741-1281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
10/18/2019
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