Most Relevant Information
Provider Data
| NPI Number: | 1003430364 |
| Provider Name: | ELIZABETH HOWARD MAHAN PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/02/2020 |
| Last Updated: | 05/21/2021 |
Provider Practice Location
5 PALISADES DR STE 100
ALBANY
NY
122056433
Practice Location Phone/Fax
| Phone: | 5184384496 |
| Fax: |
Provider Mailing Location
PO BOX 14890
ALBANY
NY
122124890
Provider Mailing Phone/Fax
| Phone: | 5185255634 |
| Fax: | 5186494094 |