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1972148641
SAM MATHEW
BELLEROSE, NY
NPI
1972148641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: NY 766123)
Enumeration Date
2019-11-17
Last Update Date
2019-11-17
Business Address
SAM MATHEW
8251 251ST ST
BELLEROSE, NY 11426-2527
Phone number: 347-399-3402
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Mailing Address
SAM MATHEW
8251 251ST ST
BELLEROSE, NY 11426-2527
Phone number:
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