Organization
MAYRA S MAHADIN M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA S MAHADIN M.D. (OWNER)
(718) 651-6500
Entity
Organization
Contact information
Practice address
3757 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 651-6500
(718) 651-0634
Mailing address
3757 91ST ST, JACKSON HEIGHTS, NY 11372-7901
(718) 651-6500
(718) 651-0634
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
155360
NY
Other
Enumeration date
09/11/2007
Last updated
01/25/2012
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