| Thomas P Mathew Md Pc | |
|
915 Hillside Ave New Hyde Park NY 11040-2529 | |
| (718) 343-7600 | |
| (718) 343-7603 |
| Full Name | Thomas P Mathew Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 915 Hillside Ave, New Hyde Park, New York |
| Authorized Official Name and Position | Thomas P Mathew (PRESIDENT/PHYSICIAN) |
| Authorized Official Contact | 7183437600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P Mathew Md Pc 915 Hillside Ave New Hyde Park NY 11040-2529 Ph: (718) 343-7600 | Thomas P Mathew Md Pc 915 Hillside Ave New Hyde Park NY 11040-2529 Ph: (718) 343-7600 |
| NPI Number | 1104124981 |
|---|---|
| Provider Enumeration Date | 03/03/2011 |
| Last Update Date | 03/20/2012 |
| Medicare PECOS PAC ID | 0345402012 |
|---|---|
| Medicare Enrollment ID | O20120426000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104124981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 225462 (New York) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 225462-1 (New York) | Primary |
| Provider Name | Thomas P Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245282136 PECOS PAC ID: 8224929328 Enrollment ID: I20040319001576 |
| Provider Name | Prabha P Pillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033347182 PECOS PAC ID: 5294872016 Enrollment ID: I20091028000312 |
| Provider Name | Joel Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245576255 PECOS PAC ID: 9335370725 Enrollment ID: I20170823004071 |
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