Individual
DR. ANNA T. MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 LAKEVILLE ROAD, LIJMC-DEPARTMENT OF MEDICINE/DIVISION OF NEPHROLOGY, NEW HYDE PARK, NY 11042
(341) 407-3804
Mailing address
100 COMMUNITY DRIVE, 2ND FLOOR, GREAT NECK, NY 11021
(516) 465-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267301
NY
207RN0300X
Nephrology Physician
Primary
267301
NY
Other
Enumeration date
02/18/2013
Last updated
08/06/2014
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