Provider Demographics
NPI:1992952782
Name:MATHEW, REKHA REBECCA (DMD)
Entity type:Individual
Prefix:DR
First Name:REKHA
Middle Name:REBECCA
Last Name:MATHEW
Suffix:
Gender:F
Credentials:DMD
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Other - Credentials:
Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8800
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:31-37 WEST BROAD STREET, 3RD FL.
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-1615
Practice Address - Country:US
Practice Address - Phone:845-429-4499
Practice Address - Fax:845-429-5185
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN 18409122300000X
NY055338122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist