Mathew, Jisha Merin
Mathew, Jisha Merin is an individual health care provider with primary practice located at 1835 Oliver Ave Apt 4, Valley Stream NY 11580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mathew, Jisha Merin can be contacted via phone (347) 972-7207.Contact Information
Primary practice address
1835 Oliver Ave Apt 4
Valley Stream NY 11580
Phone: (347) 972-7207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 342567 | New York |
Profile Details
| NPI number | 1700377934 |
|---|---|
| LBN Legal business name | Mathew, Jisha Merin |
| Credentials | MS, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2018 |
| Last updated | May 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700377934 | NPPES |
| New York | Other | 2018000509 | ANCC FNPBC |
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