Organization
NORTHSIDE PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MAHONY PHD (CLINICAL PSYCHOLOGIST)
(718) 668-1919
Entity
Organization
Contact information
Practice address
331 LEONARD ST STE 1F, BROOKLYN, NY 11211-2309
(718) 669-1919
(347) 308-5985
Mailing address
331 LEONARD ST STE 1F, BROOKLYN, NY 11211-2309
(718) 669-1919
(347) 308-5985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013606
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01947837
—
NY
Enumeration date
03/27/2018
Last updated
03/27/2018
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