Individual provider · Type 1 NPI
Annamma Mathew, REGISTERED NURSE
Psychiatric/Mental Health Registered Nurse · Commack, NY
NPI number
1386893949
Active
Practice location
59 Timber Ridge Drive
Commack, NY 11725
Fax (631) 269-0892
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 303568 (NY) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 303568 (NY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Other psychiatric/mental health registered nurse providers in Commack
About NPI 1386893949
Annamma Mathew, REGISTERED NURSE's National Provider Identifier is 1386893949, issued on Sep 18, 2008. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Commack, NY. The record was last updated on Sep 18, 2008.