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1457850075
ANNAMMA MATHEW
QUEENS VILLAGE, NY
NPI
1457850075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: NY 450591)
Enumeration Date
2018-02-09
Last Update Date
2018-02-09
Business Address
ANNAMMA MATHEW
7925 WINCHESTER BLVD
QUEENS VILLAGE, NY 11427-2128
Phone number: 718-464-7500
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Mailing Address
ANNAMMA MATHEW
8120 255TH ST
FLORAL PARK, NY 11004-1415
Phone number:
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