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Individual
DR. THOMAS LANG MAHONEY
Active
Individual
DR. THOMAS LANG MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
142554
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00762203
—
NY
01
—
010142554
BLUE CHOICE
NY
01
—
0977
BCBS NUMBER
NY
01
—
142554
LISCENSE
NY
01
—
187A
PREFERRED CARE ID
NY
01
—
CIM 231398
WORKERS COMP NUMBER
NY
Enumeration date
06/26/2006
Last updated
03/07/2023
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