Individual
JINU MATHEW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4045 HEMPSTEAD TPKE FL 3, BETHPAGE, NY 11714-5611
(516) 731-7770
Mailing address
263 BRYANT AVE, FLORAL PARK, NY 11001-1223
(914) 471-6581
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431553
NY
Other
Enumeration date
11/04/2019
Last updated
12/17/2025
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