MEDICARE: BETSY K MATHEW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	312193	NY

General Provider Information

NPI Number	:	1184583734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETSY K MATHEW

Provider Business Mailing Address
First Line	:	4042 192ND ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-2938
Country	:	US
Telephone Number	:	516-647-7960
Fax Number	:

Provider Business Practice Location Address
First Line	:	4042 192ND ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-2938
Country	:	US
Telephone Number	:	516-647-7960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ BETSY K MATHEW ” Practice Location

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