Individual provider · Type 1 NPI

Nickie Mathew

Student in an Organized Health Care Education/Training Program · Williamsville, NY

NPI number 1194059592 Active

Practice location

110 Spring Meado Dr., Apt. 14
Williamsville, NY 14221

Call (716) 512-1680 Map

Mailing address

110 Spring Meadow Dr, Apt. 14
Williamsville, NY 14221-8420

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X390200000XPSYCHIATRY (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194059592

Nickie Mathew's National Provider Identifier is 1194059592, issued on Oct 1, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Williamsville, NY. The record was last updated on Oct 1, 2009.