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1306318019
DIANA MATHEW
STATEN ISLAND, NY
NPI
1306318019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 754686)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
DIANA MATHEW RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number: 718-667-2400
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Mailing Address
DIANA MATHEW RN
777 SEAVIEW AVE
STATEN ISLAND, NY 10305-3409
Phone number:
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