Individual provider · Type 1 NPI

Neethu Wilson Mathew

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Bellerose, NY

NPI number 1043071723 Active

Practice location

7403 Commonwealth Blvd
Bellerose, NY 11426-1839

Call (718) 264-4500 Map

Mailing address

2515 Lancaster St
East Meadow, NY 11554-4001

Specialties and licenses

Taxonomy	Code	License
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary	163WP0807X	767436-01 (NY)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1043071723

Neethu Wilson Mathew's National Provider Identifier is 1043071723, issued on Jan 19, 2024. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Bellerose, NY. The record was last updated on Jan 19, 2024.