Individual
MERIN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 SAINT JOHNS AVE, YONKERS, NY 10704-2741
(914) 770-6252
Mailing address
318 SAINT JOHNS AVE, YONKERS, NY 10704-2741
(914) 770-6252
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
768237
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405630
NY
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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