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Contact Information

ANITHA S MATHEW SHAJI, DO
300 OLD COUNTRY ROAD
SUITE 31
MINEOLA, NY11501
 Phone: 516-294-9380
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ANITHA S MATHEW SHAJI · (Female)

NPI # 1003049867
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/27/2009
Last updated 10/18/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 266066
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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