Individual
CHRISTINE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
236 BROADWAY, BROOKLYN, NY 11211-6289
(718) 307-1230
Mailing address
10 HARKIN LN, HICKSVILLE, NY 11801-5722
(347) 387-3671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025827-01
NY
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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