Individual
DR. MICHELE MARIE MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
197 HALF HOLLOW RD, DIX HILLS, NY 11746-5861
(631) 370-1622
Mailing address
197 HALF HOLLOW RD, DIX HILLS, NY 11746-5861
(631) 370-1622
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
229850
NY
2084P0804X
Child & Adolescent Psychiatry Physician
229850
NY
Other
Enumeration date
05/23/2007
Last updated
08/08/2019
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