Individual
CHRISTY VARGHESE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808A HICKSVILLE RD, MASSAPEQUA, NY 11758-1262
(516) 597-4242
Mailing address
2096 PROSPECT AVE, EAST MEADOW, NY 11554-1902
(516) 413-9055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F346083-01
NY
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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