Individual
DR. TITUS THOMAS MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY INTERN
Contact information
Practice address
118 ELM LN, NEW HYDE PARK, NY 11040-2406
(516) 225-6216
Mailing address
118 ELM LN, NEW HYDE PARK, NY 11040-2406
(516) 225-6216
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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