Individual
BOBBY MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 629-3857
Mailing address
999 FRANKLIN AVE, GARDEN CITY, NY 11530-2913
(516) 742-3404
(516) 629-3857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009066-1
NY
Other
Enumeration date
03/28/2007
Last updated
01/31/2017
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