Individual
DR. ANGELA MAHAJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST # UH4143, SYRACUSE, NY 13210
(315) 464-4720
(315) 464-4905
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
253748
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
253748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03123888
—
NY
Enumeration date
10/01/2008
Last updated
04/18/2019
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