JISHA MARY MATHEW

BRONX, NY
NPI1114114295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  011874)
Enumeration Date2007-10-02
Last Update Date2012-05-22
Business Address
-- JISHA MARY MATHEW RPA-C
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
Mailing Address
-- JISHA MARY MATHEW RPA-C
1065 SOUTHERN BLVD
BRONX, NY 10459-2417
Phone number: 718-589-2440
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