Organization
MOMENTUM MEDICAL SERVICES, PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J MCMAHON MD. (OWNER)
(718) 801-6375
Entity
Organization
Contact information
Practice address
9323 SHORE ROAD, SUITE # 4L, BROOKLYN, NY 11209-6640
(718) 801-6375
(516) 629-2458
Mailing address
9323 SHORE ROAD, SUITE # 4L, BROOKLYN, NY 11209-6640
(718) 801-6375
(516) 629-2458
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
184477
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184477
NYS LICENSE
NY
Enumeration date
04/11/2013
Last updated
04/26/2013
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