Organization
MAHON PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDERICK MAHON M.S.,P.T (PRESIDENT)
(516) 596-8231
Entity
Organization
Contact information
Practice address
28 JASMINE LN, VALLEY STREAM, NY 11581-2412
(516) 596-8231
(516) 792-3819
Mailing address
28 JASMINE LN, VALLEY STREAM, NY 11581-2412
(516) 596-8231
(516) 792-3819
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
021973
NY
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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