Individual
DR. JASILIN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
877 STEWART AVE STE 33, GARDEN CITY, NY 11530-4803
(516) 745-5621
(516) 227-2544
Mailing address
877 STEWART AVE STE 33, GARDEN CITY, NY 11530-4803
(516) 745-5621
(516) 227-2544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
237275
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401381
—
NY
Enumeration date
08/21/2006
Last updated
01/09/2019
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