| 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 |
|---|---|
| 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 |