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Samantha Mahon
NPI 1225488729 · on the registry since 2016 · sole proprietor
Practice
- Address
- 31 Brockway Pl
Brockport, NY 14420 - Phone
- (585) 455-6002
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York