Mahl, David

Mahl, David is an individual health care provider with primary practice located at 5205 Church Ave , Brooklyn NY 11203-3513. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mahl, David can be contacted via phone (718) 688-8000.

Contact Information

Primary practice address
5205 Church Ave Brooklyn NY 11203-3513
Phone: (718) 688-8000
Fax: (718) 385-5104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 015797 New York

Profile Details

NPI number 1104881143
LBN Legal business name Mahl, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104881143 NPPES
New York MEDICAID 02568321

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