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1013102631
LISA MAHER
STATEN ISLAND, NY
NPI
1013102631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 006173-1)
Enumeration Date
2007-09-06
Last Update Date
2007-09-06
Business Address
-- LISA MAHER PA
355 BARD AVE RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1117
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Mailing Address
-- LISA MAHER PA
PO BOX 537
LIVINGSTON, NJ 07039-0537
Phone number: 800-345-0064
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