Individual
ASHWINI MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
ROUTE 301 N 21 B AVENUE, ZUNI, NM 87327
(505) 782-4431
Mailing address
25008 81ST AVE, BELLEROSE, NY 11426-2617
(347) 451-1040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12482251
—
NM
Enumeration date
06/23/2008
Last updated
04/01/2016
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