Individual
ELIZABETH HOWARD MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 PALISADES DR STE 100, ALBANY, NY 12205-6433
(518) 438-4496
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
05/21/2021
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