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Jisha Merin Mathew, MS,FNP-BC
Family Nurse Practitioner in Valley Stream, New York
NPI 1700377934

Jisha Merin Mathew is a Family Nurse Practitioner based in New York, NY and is specialized in Family. Jisha Merin Mathew practices in Valley Stream, NY and has the professional credentials of MS,FNP-BC. The NPI Number for Jisha Merin Mathew is 1700377934 and holds a License No. 342567 (New York).

The current practice location address for Jisha Merin Mathew is 1835 Oliver Ave, Valley Stream, NY and can be reached out via phone at 347-972-7207.

Location: 1835 Oliver Ave, Valley Stream, NY, 10029-6508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700377934
Provider Name
Jisha Merin Mathew
Credential
MS,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1835 Oliver Ave, Valley Stream, NY, 10029-6508
Phone Number
347-972-7207
Fax Number
Provider Enumeration Date
05/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2018000509 01 NY ANCC FNPBC
institution
Provider Business Practice Location Address Details
Address
1835 Oliver Ave
City
Valley Stream
State
New York
Zip
11580
Phone Number
347-972-7207
Fax Number
person
Provider Business Mailing Address Details
Address
1835 Oliver Ave
City
Valley Stream
State
New York
Zip
11580
Phone Number
347-972-7207
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
342567 (New York)
Definition
Definition to come...
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