Individual
CHRISTINA EAPEN MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 754-7978
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
297904
NY
Other
Enumeration date
04/23/2010
Last updated
10/12/2022
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