Lisa Reeves Mahoney MD

NPI 1033188669 - Dermatology - 207N00000X

NPI Details
NPI 1033188669
Gender Female
Enumeration Date 03/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
565 ROUTE 25A
SUITE 4
MILLER PLACE NY, 11764-2663, US
Phone (631) 821-9200
Fax (631) 821-3266
Business Location
565 ROUTE 25A
SUITE 4
MILLER PLACE NY, 11764-2663, US
Phone (631) 821-9200
Fax (631) 821-3266
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 124569
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According to our database, Lisa Reeves Mahoney MD NPI is 1033188669, taxonomy code is 207N00000X and license number is 124569, license state is located at New York. Lisa Reeves Mahoney MD physically located at 565 Route 25a, Miller Place NY, 11764-2663. NPI Number Lisa Reeves Mahoney MD has the Individual type.

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1033188669 NPI number is provided on an as is basis without warranty of any kind. 1033188669 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Reeves Mahoney MD are for informational purposes only.