National Provider Identifier
Mary L Mathew, MD
Mary L Mathew, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Rochester, NY and a listed phone number of (585) 368-4000.
Profile Overview
- NPI
- 1740217504
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 27, 2006
- Last Updated
- December 14, 2016
Practice Location
- 1561 Long Pond RD
- Suite 206
- Rochester, NY 14626-4117
Phone: (585) 368-4000
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1740217504
- Entity Type
- Individual
- Last Name
- Mathew
- First Name
- Mary
- Middle Name
- L
- Credential
- MD
- Mailing Street Address
- 1561 Long Pond RD
- Mailing Address Line 2
- Suite 206
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4117
- Mailing Country
- US
- Mailing Phone
- (585) 368-4000
- Mailing Fax
- (585) 368-4815
- Practice Street Address
- 1561 Long Pond RD
- Practice Address Line 2
- Suite 206
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4117
- Practice Country
- US
- Practice Phone
- (585) 368-4000
- Practice Fax
- (585) 368-4815
- Enumeration Date
- June 27, 2006
- Last Updated
- December 14, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- P00318888 (NY, Medicare Rr), 01519653 (NY)