Thomas P Mathew MD PC
Internal Medicine, Geriatric Medicine in New Hyde Park, NY. Organization (NPI-2).
NPI number1104124981
StatusActive
Last updated in NPPESMar 20, 2012
Details
- NPI
- 1104124981
- Entity type
- Organization (NPI-2)
- Legal business name
- Thomas P Mathew MD PC
- Organization subpart
- No
- Enumeration date
- Mar 3, 2011
- Last updated
- Mar 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0300X | Internal Medicine, Geriatric Medicine | 225462-1 | NY | Yes |
| 207R00000X | Internal Medicine | 225462 | NY |
Practice location
915 Hillside AveNew Hyde Park, NY 11040-2529
Phone 718-343-7600 · Fax 718-343-7603
Mailing address
915 Hillside AveNew Hyde Park, NY 11040-2529
Phone 718-343-7600 · Fax 718-343-7603
Authorized official
Thomas P Mathew
President/Physician
7183437600
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