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Contact Information

ANNAMMA MATHEW, REGISTERED NURSE
59 TIMBER RIDGE DRIVE
COMMACK, NY11725
 Phone: 631-269-0892
 Fax: 631-269-0892
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for ANNAMMA MATHEW · (Female)

NPI Number 1386893949
Status Active
Credentials REGISTERED NURSE
Entity Individual
Enumeration date 09/18/2008
Last updated 09/18/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 303568
Hospital affiliation(s) Not Available
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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