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Individual

MRS. KAREN MAHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8 HANLEY PL, EAST NORTHPORT, NY 11731-3702
(631) 368-2473
Mailing address
8 HANLEY PL, EAST NORTHPORT, NY 11731-3702

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
012829-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780737551
NY
Enumeration date
09/14/2011
Last updated
12/22/2011
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