MEDICARE: BRENDAN T MAHAR

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
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1962347971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDAN T MAHAR

Provider Business Mailing Address
First Line	:	353 MAIN ST FL 2
Second Line	:
City	:	CATSKILL
State	:	NY
Zip	:	12414-1420
Country	:	US
Telephone Number	:	518-929-8592
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 DAVIS AVE
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-2408
Country	:	US
Telephone Number	:	845-605-2999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ BRENDAN T MAHAR ” Practice Location

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