Dr Thomas Lang Mahoney, MD | |
3875 E Henrietta Rd, Henrietta, NY 14467-9147 | |
(585) 334-4200 | |
Not Available |
Full Name | Dr Thomas Lang Mahoney |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3875 E Henrietta Rd, Henrietta, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235166414 | NPI | - | NPPES |
0977 | Other | NY | BCBS NUMBER |
142554 | Other | NY | LISCENSE |
010142554 | Other | NY | BLUE CHOICE |
187A | Other | NY | PREFERRED CARE ID |
00762203 | Medicaid | NY | |
CIM 231398 | Other | NY | WORKERS COMP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 142554 (New York) | Primary |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Lang Mahoney, MD 39 Rock Creek Rd, Pittsford, NY 14534-2841 Ph: (585) 586-5656 | Dr Thomas Lang Mahoney, MD 3875 E Henrietta Rd, Henrietta, NY 14467-9147 Ph: (585) 334-4200 |
Dr. Azhar Munir Tahir, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2748 E Henrietta Rd, Henrietta, NY 14467 Phone: 607-765-8129 | |
Dr. James Joseph Horohoe, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3875 E Henrietta Rd, Henrietta, NY 14467 Phone: 585-334-4200 Fax: 585-334-2515 | |
John Joseph Garneau Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3875 E Henrietta Rd, Henrietta, NY 14467 Phone: 585-334-4200 Fax: 585-334-2515 |