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Individual

MANIN MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 CROSFIELD AVE, WEST NYACK, NY 10994-2226
(845) 358-8989
Mailing address
8 SPRING RD, VALLEY COTTAGE, NY 10989-2112

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
051942-01
NY
2251S0007X
Sports Physical Therapist

Other

Enumeration date
09/08/2023
Last updated
03/09/2025
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