Individual
DANNY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 FANNING ST, STATEN ISLAND, NY 10314-5307
(718) 289-7900
Mailing address
169 PORTAGE AVE, STATEN ISLAND, NY 10314-6924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032310-01
NY
Other
Enumeration date
08/07/2024
Last updated
03/12/2025
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