Individual
MRS. ANI M MATHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2833 BROADWAY, NEW YORK, NY 10025-2245
(212) 663-3135
Mailing address
34 IRVING LN, NEW HYDE PARK, NY 11040-1831
(516) 775-3332
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044753
NY
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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