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Individual

MARGARET S MAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-5210
(315) 464-2141
Mailing address
90 PRESIDENTIAL PLZ, 3RD FLOOR, SYRACUSE, NY 13202-2240
(315) 464-5210
(315) 464-2141

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300085
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02185362
NY
Enumeration date
07/10/2006
Last updated
10/22/2010
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