Individual
THRESIAMMA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2623 E 16TH ST, BROOKLYN, NY 11235-3805
(718) 934-2424
(718) 934-2477
Mailing address
2430 W 3RD ST, BROOKLYN, NY 11223-5930
(718) 646-0772
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
247349
NY
Other
Enumeration date
09/04/2008
Last updated
05/23/2011
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