National Provider Identifier

Thankamma Mathew, M.D.

Thankamma Mathew, M.D. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Canandaigua, NY and a listed phone number of (585) 396-4363.

NPI 1518041524Canandaigua, NYPsychiatry Physician

Profile Overview

NPI
1518041524
Provider Type
Individual
Primary Specialty
Psychiatry Physician
Enumeration Date
October 25, 2006
Last Updated
August 05, 2015

Practice Location

  • 3019 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 396-4363

Specialties

  • Psychiatry Physician (2084P0800X)
Full Record
NPI
1518041524
Entity Type
Individual
Last Name
Mathew
First Name
Thankamma
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
3019 County Complex Dr
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-9505
Mailing Country
US
Mailing Phone
(585) 396-4363
Practice Street Address
3019 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 396-4363
Enumeration Date
October 25, 2006
Last Updated
August 05, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatry Physician (2084P0800X)