Individual
FASIL MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10818 QUEENS BLVD FL 6, FOREST HILLS, NY 11375-4748
(718) 575-3322
(718) 268-1920
Mailing address
660 WHITE PLAINS RD STE 400, TARRYTOWN, NY 10591-5107
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
328051
NY
Other
Enumeration date
04/21/2019
Last updated
03/04/2025
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