1. Home
  2. Directory
  3. New York
  4. Williamsville
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NICKIE MATHEW
NPI 1194059592
Student in an Organized Health Care Education/Training Program in Williamsville, NY

Active since October 01, 2009
110 SPRING MEADO DR., APT. 14, WILLIAMSVILLE, NY 14221(716) 512-1680 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nickie Mathew NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICKIE MATHEW (NPI 1194059592) is an individual student in an organized health care education/training program in Williamsville, New York, licensed in New York (390200000XPSYCHIATRY) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1194059592
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICKIE MATHEW
Location Address110 SPRING MEADO DR., APT. 14Williamsville, NY 14221
Mailing Address110 Spring Meadow Dr, Apt. 14Williamsville, NY 14221-8420
Phone(716) 512-1680
Sole ProprietorYes
Enumeration DateOctober 1, 2009
✔ NPI 1194059592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NY · 390200000XPSYCHIATRY
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

110 SPRING MEADO DR., Williamsville, NY 14221
Open in Google Maps ↗

Frequently Asked Questions

What is Nickie Mathew's NPI number?

The NPI number assigned to this healthcare provider is 1194059592, enumerated as an "individual" on October 01, 2009.

Where is the provider located?

The provider is located at 110 SPRING MEADO DR. APT. 14 WILLIAMSVILLE, NY 14221 and the phone number is (716) 512-1680.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.