Individual
MISS ERIN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 W GLANN RD, APALACHIN, NY 13732-4026
(607) 222-8977
(607) 625-4251
Mailing address
23 W GLANN RD, APALACHIN, NY 13732-4026
(607) 625-4251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
REG2081611-578416C3
NY STATE DEPT OF HEALTH BUREAU OF EARLY INTERVENTION
NY
Enumeration date
05/28/2013
Last updated
05/28/2013
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