Individual
COLIN J MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 EAST AVE, LOCKPORT, NY 14094-3201
(716) 514-5700
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(833) 953-2016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01439803
—
NY
Enumeration date
05/01/2006
Last updated
04/03/2020
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