NPI 1104250653

Antony Mathew, COBOCPO

Practitioner Prosthetist Yonkers, NY

Practice location

Address: 70 Smart Ave, Yonkers, NY 10704-1066
Phone: (914) 968-1370
Fax: (914) 968-1371

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence C14290 (NY)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence C14290 (NY)

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Registry record

NPI: 1104250653
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2013
Record last updated: 23 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.