Individual
MATTHEW WILLIAM THORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2799
(631) 351-2000
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2799
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406344
NY
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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