Mathew, Shirley
Mathew, Shirley is an sole proprietor health care provider with primary practice located at 104 N Richmond Ave , Massapequa NY 11758-3438. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mathew, Shirley can be contacted via phone (516) 829-8777.Contact Information
Primary practice address
104 N Richmond Ave
Massapequa NY 11758-3438
Phone: (516) 829-8777
Fax: (516) 829-7926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 196418 | New York |
Profile Details
| NPI number | 1508813924 |
|---|---|
| LBN Legal business name | Mathew, Shirley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1508813924 | NPPES |
| New York | MEDICAID | 01647694 | |
| New York | Other | 2Z5611 | |
| New York | Other | 2516647 |
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