IndividualActive
Annamma Mathew, REGISTERED NURSE
NPI 1386893949 · Psychiatric/Mental Health Registered Nurse · Commack, NY
Provider details
- NPI number
- 1386893949
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 303568 (NY)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
59 Timber Ridge Drive
Commack, NY 11725
Phone: (631) 269-0892
Fax: (631) 269-0892
Approximate (ZIP-level) locationGet directions
Mailing address
59 Timber Ridge Drive
Commack, NY 11725
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2008-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.