Individual
BLESSY M MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 GREEN VALLEY RD, EAST MEADOW, NY 11554-1522
(516) 707-5754
Mailing address
245 GREEN VALLEY RD, EAST MEADOW, NY 11554-1522
(516) 707-5754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113105
NY
1041S0200X
School Social Worker
113105
NY
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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