Mahoney, Kyle L

Mahoney, Kyle L is an individual health care provider with primary practice located at 67 Kendall St 420 Clifton Springs Professional Park, Clifton Springs NY 14432-9701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Mahoney, Kyle L can be contacted via phone (315) 462-2569.

Contact Information

Primary practice address
67 Kendall St 420 Clifton Springs Professional Park Clifton Springs NY 14432-9701
Phone: (315) 462-2569
Fax: (315) 462-2370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 013055 New York

Profile Details

NPI number 1154356749
LBN Legal business name Mahoney, Kyle L
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Apr 28th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154356749 NPPES
New York Other 11334525 CAQH PROVIDER ID

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