Individual
MABLE ANNIE MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AANP-C
Contact information
Practice address
259 FIRST STREET, NYU LANGONE LONG ISLAND, MINEOLA, NY 11501
(516) 244-0453
Mailing address
16 ALBERT AVE, SYOSSET, NY 11791-3903
(516) 244-0453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306404
NY
Other
Enumeration date
01/31/2015
Last updated
03/17/2021
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