Individual
LINDA MAHLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1077 W JERICHO TPKE, SMITHTOWN, NY 11787-3204
(631) 864-5440
(631) 864-9515
Mailing address
266 ADIRONDACK DR, SELDEN, NY 11784-3746
(631) 864-5440
(631) 864-9515
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F360308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F360308
NYS LICENSE
NY
Enumeration date
07/27/2005
Last updated
07/08/2007
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