Individual
BRIAN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 MANCHESTER RD, HUNTINGTON, NY 11743-5532
(631) 549-2099
Mailing address
54 MANCHESTER RD, HUNTINGTON, NY 11743-5532
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040524
NY
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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