Individual
MRS. ANCY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 N 7TH ST, NEW HYDE PARK, NY 11040-3034
(718) 219-1283
Mailing address
1051 N 7TH ST, NEW HYDE PARK, NY 11040-3034
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306652
NY
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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