person
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. You can also correspond with Jisha Merin Mathew through the mailing address at 1468 MADISON AVE, NEW YORK, NY - 10029-6508 (mailing address contact number: 212-241-6639).

Location: 1835 Oliver Ave, Valley Stream, NY, 10029-6508
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
State
Zip
11580
Phone Number
347-972-7207
Fax Number
person
Provider Business Mailing Address Details
Address
1835 Oliver Ave
City
State
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
License No.
342567 (New York)
Definition
Definition to come...
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