Most Relevant Information
Provider Data
| NPI Number: | 1003049867 |
| Provider Name: | ANITHA SARA MATHEW-SHAJI D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 266066 |
Most Important Dates
| Enumeration Date: | 08/27/2009 |
| Last Updated: | 10/18/2023 |
Provider Practice Location
70 GLEN COVE RD STE 301
ROSLYN HEIGHTS
NY
115771731
Practice Location Phone/Fax
| Phone: | 5166211502 |
| Fax: | 5166211162 |
Provider Mailing Location
70 GLEN COVE RD STE 301
ROSLYN HEIGHTS
NY
115771731
Provider Mailing Phone/Fax
| Phone: | 5166211502 |
| Fax: | 5166211162 |
Suggested EMR
Internist EMR