National Provider Identifier

Puthenpurakal K Mathew, MD

Puthenpurakal K Mathew, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Rochester, NY and a listed phone number of (585) 723-7872.

NPI 1831141670Rochester, NYCardiovascular Disease Physician

Profile Overview

NPI
1831141670
Provider Type
Individual
Primary Specialty
Cardiovascular Disease Physician
Enumeration Date
May 17, 2006
Last Updated
July 08, 2007

Practice Location

  • 1561 Long Pond Road
  • Suite 401
  • Rochester, NY 14626

Phone: (585) 723-7872

Specialties

  • Cardiovascular Disease Physician (207RC0000X)
Full Record
NPI
1831141670
Entity Type
Individual
Last Name
Mathew
First Name
Puthenpurakal
Middle Name
K
Credential
MD
Mailing Street Address
1561 Long Pond Road
Mailing Address Line 2
Suite 401
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626
Mailing Country
US
Mailing Phone
(585) 723-7872
Mailing Fax
(585) 723-7236
Practice Street Address
1561 Long Pond Road
Practice Address Line 2
Suite 401
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626
Practice Country
US
Practice Phone
(585) 723-7872
Practice Fax
(585) 723-7236
Enumeration Date
May 17, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Cardiovascular Disease Physician (207RC0000X)
Other Identifiers
00458315 (NY), 1136019WCIMCD (Worker'S Compensation)