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

Nisha Susan Prince-Mattathil, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1396362646

Nisha Susan Prince-Mattathil, NURSEPRACTITIONER is a Family Nurse Practitioner in Huntington, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

789 Park Ave
Huntington, NY 11743-3912
Phone: (631) 386-3402
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1792786 (NY)

Record details

NPI number1396362646
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESAugust 6, 2022
Certification dateAugust 6, 2022

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