Sujata Mathew
Registered Nurse, Administrator in Queens Village, NY. Individual provider (NPI-1).
NPI number1124527411
StatusActive
Last updated in NPPESFeb 2, 2018
Details
- NPI
- 1124527411
- Entity type
- Individual (NPI-1)
- Name
- Sujata Mathew
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2018
- Last updated
- Feb 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | 473224-1 | NY | Yes |
Practice location
7925 Winchester BlvdQueens Village, NY 11427-2128
Phone 718-264-4050
Mailing address
7925 Winchester BlvdQueens Village, NY 11427-2128
Phone 718-264-4050
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