Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joel Puthenpurackal Mathew

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679276513

Joel Puthenpurackal Mathew is a Student in an Organized Health Care Education/Training Program in Bay Shore, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 894-5934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679276513
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 21, 2023

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