Individual
MARY LOUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSHH
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 694-9200
Mailing address
117 HARMON AVE, PELHAM, NY 10803-1745
(347) 501-0758
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
751454973
NY
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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