Individual
ANNE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 GENESEE ST, NEW HARTFORD, NY 13413-2323
(315) 724-1410
(315) 724-1449
Mailing address
115 GENESEE ST, NEW HARTFORD, NY 13413-2392
(315) 724-1410
(315) 724-1449
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
205802
NY
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
205802
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
205802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02165153
—
NY
01
—
495678
MVP
—
Enumeration date
05/25/2005
Last updated
04/02/2021
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