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NPI Code Detail

MEDICARE: DR. MATHEW PARAYIL MD

MEDICARE: DR. MATHEW PARAYIL MD
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician253744-1NY
2207Q00000XFamily Medicine Physician253744-1NY

General Provider Information

NPI Number : 1922289883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATHEW PARAYIL MD
Provider Business Mailing Address
First Line : 2094 ALBANY POST RD
Second Line :
City : MONTROSE
State : NY
Zip : 10548-1454
Country : US
Telephone Number : 914-737-4400
Fax Number : 914-737-4400
Provider Business Practice Location Address
First Line : 3458 NEELY RD
Second Line :
City : JB MDL
State : NJ
Zip : 08641-5312
Country : US
Telephone Number : 866-377-2778
Fax Number : 609-754-9015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2007
Last Update Date : 05/16/2025

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