Individual
GINA MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 NORTHERN BLVD, GREENVALE, NY 11548-1219
(516) 563-7100
Mailing address
812 BELLMORE RD, NORTH BELLMORE, NY 11710-3727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
354393
NY
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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