Individual provider · Type 1 NPI

Daisy Mathew

Adult Health Nurse Practitioner · New York, NY

NPI number 1104124585 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

630 W 168th St, Box 4
New York, NY 10032-3725

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF304469-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1104124585

Daisy Mathew's National Provider Identifier is 1104124585, issued on Mar 8, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jun 4, 2015.