Most Relevant Information
Provider Data
| NPI Number: | 1003835083 |
| Provider Name: | ANISH PHILIP MATHEW PT, MPT (NEURO), DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251N0400X |
| Specialty: | Physical Therapist |
| License Number: | 028328 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 03/07/2012 |
Provider Practice Location
1605 HILLSIDE AVE
NEW HYDE PARK
NY
110402603
Practice Location Phone/Fax
| Phone: | 5166160942 |
| Fax: | 5166160943 |
Provider Mailing Location
55 7TH ST
NEW HYDE PARK
NY
110404132
Provider Mailing Phone/Fax
| Phone: | 5163855685 |
| Fax: | 5166160943 |