Laura Mahoney, OROFACIAL MYOLOGIST

NPI #1770020562 in Castleton, New York

Provider Information

NPI Number: 1770020562
Entity Type: Individual
Name: Laura Mahoney, OROFACIAL MYOLOGIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OROFACIAL MYOLOGIST
Enumeration Date: Jan 31, 2017
Last Updated: Feb 14, 2024

Practice Location

Address: 1528 COLUMBIA TURNPIKE
Address 2: SUITE 101
City: Castleton
State: New York
ZIP Code: 12033-1203
Phone: (518) 669-9824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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