Individual
HARRY WALLACE MAHOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LAWRENCE ST, CENTER FOR CHILDREN & FAMILIES, GLENS FALLS, NY 12801-3617
(518) 926-7100
(518) 926-7069
Mailing address
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4413
(518) 926-3210
(518) 926-3215
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
205334
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
205334
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00987929
RR MEDICARE
NY
Enumeration date
10/17/2005
Last updated
06/13/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us