| Thomas D Maher Md Pllc | |
|
1990 W Lake Rd Skaneateles NY 13152-9674 | |
| (315) 391-6645 | |
| Not Available |
| Full Name | Thomas D Maher Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1990 W Lake Rd, Skaneateles, New York |
| Authorized Official Name and Position | Thomas D Maher (SOLE MEMBER) |
| Authorized Official Contact | 3153916645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D Maher Md Pllc 17 W Elizabeth St Po Box 152 Skaneateles NY 13152-1103 Ph: (315) 391-6645 | Thomas D Maher Md Pllc 1990 W Lake Rd Skaneateles NY 13152-9674 Ph: (315) 391-6645 |
| NPI Number | 1700044344 |
|---|---|
| Provider Enumeration Date | 05/30/2008 |
| Last Update Date | 05/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700044344 | NPI | - | NPPES |
| 00507144 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 127236-1 (New York) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 127236-1 (New York) | Secondary |