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NPI Code Detail

MEDICARE: JAMES MAHONEY MD

MEDICARE: JAMES MAHONEY MD
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
1207R00000XInternal Medicine Physician177624NY

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 : 1811332067
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES MAHONEY MD
Provider Business Mailing Address
First Line : 322 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3579
Country : US
Telephone Number : 516-343-1933
Fax Number : 718-222-1650
Provider Business Practice Location Address
First Line : 322 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3579
Country : US
Telephone Number : 516-343-1933
Fax Number : 917-760-0194
Authorized Official
Title or Position : DOCTOR
Name : JAMES MAHONEY
Credential : MD
Telephone Number : 718-237-1956
Provider Enumeration Date : 05/01/2013
Last Update Date : 05/01/2013

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