National Provider Identifier
Nickie Mathew
Nickie Mathew is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Williamsville, NY and a listed phone number of (716) 512-1680.
Profile Overview
- NPI
- 1194059592
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- October 01, 2009
- Last Updated
- October 01, 2009
Practice Location
- 110 Spring Meado Dr.
- Apt. 14
- Williamsville, NY 14221
Phone: (716) 512-1680
Mailing Address
- 110 Spring Meadow Dr
- Apt. 14
- Williamsville, NY 14221-8420
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1194059592
- Entity Type
- Individual
- Last Name
- Mathew
- First Name
- Nickie
- Mailing Street Address
- 110 Spring Meadow Dr
- Mailing Address Line 2
- Apt. 14
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8420
- Mailing Country
- US
- Practice Street Address
- 110 Spring Meado Dr.
- Practice Address Line 2
- Apt. 14
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 512-1680
- Enumeration Date
- October 01, 2009
- Last Updated
- October 01, 2009
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)