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General NPI Number Information
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NPI Number | 1891694519
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Entity Type | Organization
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Legal Business Name | DR. JAY MATHUR D.O. PLLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 4 SHAWNEE TRL
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City | HARRISON
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State | NY
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Zip | 10528
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Country | US
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Telephone | 914-745-7134
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Fax | 914-685-0857
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Provider Business Mailing Address
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Address Line | 75 S BROADWAY FL 4
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City | WHITE PLAINS
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State | NY
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Zip | 10601-4413
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Country | US
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Telephone | 914-745-7134
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Fax | 914-685-0857
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAY MATHUR
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Credential | DO
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Telephone | 914-745-7134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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