Mahoney, Patricia Marie

Mahoney, Patricia Marie is an individual health care provider with primary practice located at 5 Grace Church St , Port Chester NY 10573-4911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mahoney, Patricia Marie can be contacted via phone (914) 937-8899.

Contact Information

Primary practice address
5 Grace Church St Port Chester NY 10573-4911
Phone: (914) 937-8899
Fax: (914) 937-7932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000295 New York

Profile Details

NPI number 1104867761
LBN Legal business name Mahoney, Patricia Marie
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 3rd, 2012 - about 12 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 1104867761 NPPES
New York MEDICAID 01677265

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