Individual provider · Type 1 NPI

Therese Brown Mahoney, NP

Women's Health Nurse Practitioner · Syracuse, NY

NPI number 1073690624 Active

Practice location

770 James St, Suite 100
Syracuse, NY 13203-2117

Fax (315) 472-8497

Mailing address

792 N Main St, Suite 100A
North Syracuse, NY 13212-1644

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Midwife 367A00000XF0006191 (NY)
Women's Health Nurse Practitioner Primary 363LW0102XF360508-1 (NY)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1073690624

Therese Brown Mahoney, NP's National Provider Identifier is 1073690624, issued on Nov 1, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Syracuse, NY. The record was last updated on May 1, 2013.