Individual
LEEVA ELIZABETH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 JOSEPH ST, NEW HYDE PARK, NY 11040-1732
(516) 225-6816
Mailing address
37 JOSEPH ST, NEW HYDE PARK, NY 11040-1732
(516) 225-6816
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
287002
NY
Other
Enumeration date
06/21/2012
Last updated
03/07/2022
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