Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 283188 | NY |
NPI | 1306010129 |
---|---|
Provider Name | Dr. Thomas Sunil Mathew |
First Address | Danbury, CT 06810-4163 |
Second Address | New York, NY 10016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 10/09/2020 |