MEDICARE: DR. MAYRA S MAHADIN 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
1	174400000X	Specialist	155360-1	NY

General Provider Information

NPI Number	:	1972511160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAYRA S MAHADIN M.D.

Provider Business Mailing Address
First Line	:	3757 91ST ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7901
Country	:	US
Telephone Number	:	718-651-6500
Fax Number	:	718-651-0634

Provider Business Practice Location Address
First Line	:	3757 91ST ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7901
Country	:	US
Telephone Number	:	718-651-6500
Fax Number	:	718-651-0634

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1205826591 — DR. ALBINA POLT DDS
Practice Location Address:

3753 91ST ST
JACKSON HEIGHTS, NY
11372-7901

Practice Phone: 718-205-4377
Practice Fax: 718-205-8605

1669454096 — MR. PARIS ERNST PETERSEN DDS
Practice Location Address:

37-53 91ST ST , MARCIA D HERRERA DENTISTRY PC
JACKSON HEIGHTS, NY
11372-7901

Practice Phone: 718-205-4377
Practice Fax: 718-205-8605

1063498046 — DR. MARIA DE JESUS HERRERA DDS
Practice Location Address:

3753 91ST ST
JACKSON HEIGHTS, NY
11372-7901

Practice Phone: 718-205-4377
Practice Fax: 718-205-8605

1568415172 — EDWIN HENRY MOREANO M.D.
Practice Location Address:

3755 91ST ST
JACKSON HEIGHTS, NY
11372-7901

Practice Phone: 718-478-2852
Practice Fax: 718-478-3877

1649369554 — DR. THOMAS J IZQUIERDO M.D.
Practice Location Address:

3757 91ST ST
JACKSON HEIGHTS, NY
11372-7901

Practice Phone: 718-779-7697
Practice Fax: 718-457-2402

1356430706 — DR. MAGNON IVAN REYES DDS
Practice Location Address:

3753 91ST ST
JACKSON HEIGHTS, NY
11372-7901

Practice Phone: 646-306-7141
Practice Fax:

Directions to “ DR. MAYRA S MAHADIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.