National Provider Identifier

Thomas Lang Mahoney, M.D.

Thomas Lang Mahoney, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Henrietta, NY and a listed phone number of (585) 334-4200.

NPI 1235166414Henrietta, NYInternal Medicine Physician

Profile Overview

NPI
1235166414
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
June 26, 2006
Last Updated
March 07, 2023

Practice Location

  • 3875 E Henrietta RD
  • Henrietta, NY 14467-9147

Phone: (585) 334-4200

Mailing Address

  • 39 Rock Creek RD
  • Pittsford, NY 14534-2841

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1235166414
Entity Type
Individual
Last Name
Mahoney
First Name
Thomas
Middle Name
Lang
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
39 Rock Creek RD
Mailing City
Pittsford
Mailing State
NY
Mailing ZIP Code
14534-2841
Mailing Country
US
Mailing Phone
(585) 586-5656
Practice Street Address
3875 E Henrietta RD
Practice City
Henrietta
Practice State
NY
Practice ZIP Code
14467-9147
Practice Country
US
Practice Phone
(585) 334-4200
Enumeration Date
June 26, 2006
Last Updated
March 07, 2023
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
0977 (NY, BCBS Number), 142554 (NY, Liscense), 010142554 (NY, Blue Choice), 187A (NY, Preferred Care Id), 00762203 (NY), CIM 231398 (NY, Workers Comp Number)