Provider Demographics
NPI:1215537840
Name:MATHEWS, BINNY MICHAEL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:BINNY
Middle Name:MICHAEL
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 RUDOLPH TER
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1528
Mailing Address - Country:US
Mailing Address - Phone:914-837-0069
Mailing Address - Fax:914-969-4793
Practice Address - Street 1:11 RUDOLPH TER
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1528
Practice Address - Country:US
Practice Address - Phone:914-837-0069
Practice Address - Fax:914-969-4793
Is Sole Proprietor?:No
Enumeration Date:2020-11-01
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF345301-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily