MR. Jacob K Mathew, MD
NPI #1407857634 in Port Jefferson, New York
Provider Information
- NPI Number
- 1407857634
- Entity Type
- Individual
- Name
- MR. Jacob K Mathew, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Credential
- MD
- Enumeration Date
- Aug 10, 2005
- Last Updated
- Oct 15, 2014
Practice Location
- Address
- 100 OAKLAND AVE
- Address 2
- SUITE 4
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2172
- Phone
- (631) 476-4780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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