Doctor Name: | MRS. CIGI MATHEW |
NPI Number: | 1013246529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 335748 |
Business Practice Address: | 970 N Broadway Suite 305 B Yonkers, NY - 107011309 |
Business Phone Number: | 9143756400 |
Business Fax Number: | |
Mailing Address: | 24 Ossman Dr, POMONA |
State: | NY |
Postal Code: | 109702655 |
Phone Number: | 8457090252 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2009 |
NPI Last Update Date: | 12/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 335748 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |