Individual
ANN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 FAMILY PRACTICE DR, KINGSTON, NY 12401-6449
(845) 338-6400
(845) 339-7288
Mailing address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 802-7600
(845) 338-0307
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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