Individual
ELIZABETH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201
(718) 250-6277
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6277
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10237800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2015
Last updated
06/07/2018
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