Individual
HARINARINE MATHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11616 143RD ST, JAMAICA, NY 11436-1241
(718) 374-3382
Mailing address
11616 143RD ST, JAMAICA, NY 11436-1241
(718) 374-3382
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
P61695
NY
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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