Individual
CONRAD MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-1993
Mailing address
304 N MCBRIDE ST APT 2, SYRACUSE, NY 13203-2364
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14202-0000
NY
207P00000X
Emergency Medicine Physician
Primary
310336-01
NY
Other
Enumeration date
05/07/2018
Last updated
02/01/2022
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