Individual
ANNAMMA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 536-4199
Mailing address
11 WHITE OAK LN, BARDONIA, NY 10954-1530
(845) 536-4199
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
618066
NY
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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