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NPI Code Detail

MEDICARE: MARIA MCPHERSON M.D.

MEDICARE: MARIA MCPHERSON M.D.
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
1174400000XSpecialist222183NY

General Provider Information

NPI Number : 1659374809
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA MCPHERSON M.D.
Provider Business Mailing Address
First Line : 16 TEE LN
Second Line :
City : RED HOOK
State : NY
Zip : 12571-2445
Country : US
Telephone Number : 518-828-3391
Fax Number : 518-828-6734
Provider Business Practice Location Address
First Line : 820 UNION ST
Second Line :
City : HUDSON
State : NY
Zip : 12534-3004
Country : US
Telephone Number : 518-828-3391
Fax Number : 518-828-6734
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 07/08/2007

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