| Shirley Mathew Md Pllc | |
|
287 Northern Blvd Suite 108 Great Neck NY 11021-4717 | |
| (516) 829-8777 | |
| (516) 829-7926 |
| Full Name | Shirley Mathew Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 287 Northern Blvd, Great Neck, New York |
| Authorized Official Name and Position | Shirley Mathew (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5168298777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley Mathew Md Pllc 287 Northern Blvd Suite 108 Great Neck NY 11021-4717 Ph: (516) 829-8777 | Shirley Mathew Md Pllc 287 Northern Blvd Suite 108 Great Neck NY 11021-4717 Ph: (516) 829-8777 |
| NPI Number | 1013962802 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 09/23/2009 |
| Medicare PECOS PAC ID | 1658395025 |
|---|---|
| Medicare Enrollment ID | O20060124000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013962802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 57561 (New York) | Primary |
| Provider Name | Shirley Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508813924 PECOS PAC ID: 3072537448 Enrollment ID: I20060124000952 |
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