| Doctor Name: | DR. ANISH PHILIP MATHEW |
| NPI Number: | 1003835083 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MPT (NEURO), DPT |
| License Number: | 028328 |
| Business Practice Address: | 1605 Hillside Ave New Hyde Park, NY - 110402603 |
| Business Phone Number: | 5166160942 |
| Business Fax Number: | 5166160943 |
| Mailing Address: | 55 7th St, NEW HYDE PARK |
| State: | NY |
| Postal Code: | 110404132 |
| Phone Number: | 5163855685 |
| Fax Number: | 5166160943 |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 03/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | 028328 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |