Individual
CORAL MAHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
(315) 287-1000
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642-1040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
065472
NY
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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