Individual
MEREDITH MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 W 57TH ST STE 410, NEW YORK, NY 10019-3147
(646) 580-0313
Mailing address
2373 BROADWAY APT 1133, NEW YORK, NY 10024-2838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020661
NY
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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