Individual
BENNY K MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 NEW HEMPSTEAD RD, NEW CITY, NY 10956-3627
(845) 638-5615
Mailing address
695 LITTLE BRITAIN RD, NEW WINDSOR, NY 12553-6152
(347) 409-3019
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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