Provider Demographics
NPI:1295700276
Name:MATHEW, SILVY EMMANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:SILVY
Middle Name:EMMANUEL
Last Name:MATHEW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S HIGHLAND AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5634
Mailing Address - Country:US
Mailing Address - Phone:914-762-1486
Mailing Address - Fax:914-762-1166
Practice Address - Street 1:100 S HIGHLAND AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-5634
Practice Address - Country:US
Practice Address - Phone:914-762-1486
Practice Address - Fax:914-762-1166
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198743207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01733715Medicaid
NYA300105919OtherMEDICARE
NY42J061Medicare ID - Type Unspecified