Individual
MR. TIERNEY MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
50 SANITORIUM RD, BUILDING D, POMONA, NY 10970-3555
(845) 364-2512
(845) 364-2628
Mailing address
50 SANITORIUM RD, BUILDING D, POMONA, NY 10970-3555
(845) 364-2512
(845) 364-2628
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
00420456
NY
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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