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Nickie Mathew
Student in an Organized Health Care Education/Training Program in Williamsville, New York
NPI 1194059592

Nickie Mathew is a Student in an Organized Health Care Education/Training Program based in Williamsville, NY. Nickie Mathew practices in Williamsville, NY. The NPI Number for Nickie Mathew is 1194059592 and holds a License No. 390200000XPSYCHIATRY (New York).

The current practice location address for Nickie Mathew is 110 Spring Meado Dr., Williamsville, NY and can be reached out via phone at 716-512-1680.

Location: 110 Spring Meado Dr., Williamsville, NY, 14221-8420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194059592
Provider Name
Nickie Mathew
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 Spring Meado Dr., Williamsville, NY, 14221-8420
Phone Number
716-512-1680
Fax Number
Provider Enumeration Date
10/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Spring Meado Dr.
City
Williamsville
State
New York
Zip
14221
Phone Number
716-512-1680
Fax Number
person
Provider Business Mailing Address Details
Address
110 Spring Meado Dr.
City
Williamsville
State
New York
Zip
14221
Phone Number
716-512-1680
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
390200000XPSYCHIATRY (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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