Individual provider · Type 1 NPI
Rosely Vinson Mathew, NP
Family Nurse Practitioner · New Hyde Park, NY
NPI number
1356843064
Active
Practice location
5-FAIRFIELD Lane
New Hyde Park, NY 11040
Mailing address
26619 Union Tpke
New Hyde Park, NY 11040-1426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 456127 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | 342815 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1356843064
Rosely Vinson Mathew, NP's National Provider Identifier is 1356843064, issued on Mar 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Feb 18, 2019.