Individual provider · Type 1 NPI
Kala Jessy Mathew, AGACNP-BC
Acute Care Nurse Practitioner · Merrick, NY
NPI number
1295412146
Active
Practice location
1406 Cecily Dr
Merrick, NY 11566
Mailing address
450 Lakeville Road, Entrance B
Lake Success, NY 11042
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | F432665-01 (NY) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1295412146
Kala Jessy Mathew, AGACNP-BC's National Provider Identifier is 1295412146, issued on Jul 3, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Merrick, NY. The record was last updated on Jul 5, 2023.