Rose Marie Mathew DO

NPI 1679638886 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1679638886
Gender Female
Enumeration Date 12/27/2006
Last Updated 04/21/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
3 DELAWARE AVE
LAKE SUCCESS NY, 11042, US
Phone (516) 622-6088
Fax
Business Location
3 DELAWARE AVE
LAKE SUCCESS NY, 11042, US
Phone (516) 622-6088
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Pennsylvania
License Number OS013378
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According to our database, Rose Marie Mathew DO NPI is 1679638886, taxonomy code is 2084N0400X and license number is OS013378, license state is located at Pennsylvania. Rose Marie Mathew DO physically located at 3 Delaware Ave, Lake Success NY, 11042. NPI Number Rose Marie Mathew DO has the Individual type.

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1679638886 NPI number is provided on an as is basis without warranty of any kind. 1679638886 is maintained by the National Plan & Provider Enumeration System. The contents of Rose Marie Mathew DO are for informational purposes only.