Individual provider · Type 1 NPI

Mini Mathew

Family Nurse Practitioner · Bronx, NY

NPI number 1689127623 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Mailing address

1434 Williamsbridge Rd Fl 2
Bronx, NY 10461-2507

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF339921-1 (NY)
Family Nurse Practitioner Primary 363LF0000XF339921 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1689127623

Mini Mathew's National Provider Identifier is 1689127623, issued on Jul 26, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Jun 25, 2021.