Individual
DR. JOHN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 FRANKLIN AVEUNE, VALLEY STREAM, NY 11580
(516) 256-6353
Mailing address
10 ALDIN LN, LEVITTOWN, NY 11756-1918
(917) 742-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
243046
NY
Other
Enumeration date
06/20/2007
Last updated
02/20/2009
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