MRS. Liby Mathai
NPI #1134836950 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1134836950
- Entity Type
- Individual
- Name
- MRS. Liby Mathai
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Nov 1, 2022
- Last Updated
- Nov 1, 2022
Practice Location
- Address
- 30 PROSPECT AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1915
- Phone
- (551) 996-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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