Individual
BENNY K MATHEW
Active
Individual
BENNY K MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
633719
NY
363LF0000X
Family Nurse Practitioner
Primary
F351816
NY
Other
Enumeration date
05/18/2024
Last updated
08/22/2024
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