Individual
MRS. ALPHONSA J MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 932-4000
Mailing address
6 IVY CT, CONGERS, NY 10920-1748
(845) 267-8248
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304756-1
NY
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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