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NPI Code Detail

MEDICARE: PATRICIA MARIE MAHONEY C.N.M.

MEDICARE:   PATRICIA MARIE MAHONEY  C.N.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeF000295NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104867761
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA MARIE MAHONEY C.N.M.
Provider Business Mailing Address
First Line : 165 MAIN ST
Second Line :
City : OSSINING
State : NY
Zip : 10562-4702
Country : US
Telephone Number : 914-941-1263
Fax Number : 914-941-0993
Provider Business Practice Location Address
First Line : 5 GRACE CHURCH ST
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-4911
Country : US
Telephone Number : 914-937-8899
Fax Number : 914-937-7932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 01/03/2012

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Directions to “ PATRICIA MARIE MAHONEY C.N.M.” Practice Location

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