Mathew, Lina
Mathew, Lina is an sole proprietor health care provider with primary practice located at 8120 255Th St , Floral Park NY 11004-1415. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mathew, Lina can be contacted via phone (718) 347-4384.Contact Information
Primary practice address
8120 255Th St
Floral Park NY 11004-1415
Phone: (718) 347-4384
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051710 | New York |
Profile Details
| NPI number | 1629250055 |
|---|---|
| LBN Legal business name | Mathew, Lina |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Nov 27th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629250055 | NPPES |
| New York | MEDICAID | 00703324 |
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