Individual
SHARLENE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1010 NORTHERN BLVD, GREAT NECK, NY 11021-5317
(516) 321-7455
Mailing address
1010 NORTHERN BLVD, GREAT NECK, NY 11021-5317
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F432668
NY
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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